Enrollment and Premium Billing Reconciliation Analyst
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Job Location:
Albuquerque, NM - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Overview
Now hiring aEnrollment and Premium Billing Reconciliation Analyst
Support the management of daily operations in the Enrollment and Premium Billing Departments by providing data analytics for all lines of business Commercial Medicaid and Medicare. Function as primary contact on technical workflow and quality issues and primary contact with IT. Develops business reports as required. Performs advanced data analysis and reporting for department.
How you belong matters here.
We value our employees differences and find strength in the diversity of our team and community.
At Presbyterian its not just what we do that matters. Its how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.
Why Join Us
- Full Time - Exempt: Yes
- Job is based Rev Hugh Cooper Admin Center
- Work hours: Days
- Benefits: We offer a wide range of benefits including medical wellness program vision dental paid time off retirement and more for FT employees.
Qualifications
- Associates degree or three to five years related experience in data compilation analysis and reporting utilizing the appropriate tools in lieu of degree. Requires strong organizational analytical and problem-solving skills as well as the ability to create sort and analyze reports.
- Experience in data problem research and consistent accuracy and attention to detail is required.
- Requires strong working knowledge and/or experience with Microsoft Office products and other analytical tools.
- Prior experience with Business Objects Crystal SQL Facets and Enrollment and/or Premium Billing activities preferred.
- Must demonstrate ability to work effectively in a team environment; under limited supervision and resolve issues with minimal assistance.
Responsibilities
- Supports the Enrollment and Premium Billing Operations team with by assisting with workflow planning establishing business objectives and goal setting based on the analysis of the open work inventory.
- Prepares and presents data interpretation and recommendations at a level understood by intended audience; such as coworkers staff and management
- Provides support with database development along with the needed infrastructure maintenance.
- Establishes operational reporting for the Enrollment and Premium Billing Departments
- Uses established methods techniques and tools to document and maintain all deliverables created in accordance with departmental policies
- Serves as liaison between Enrollment and Premium Billing Operations IT and other departments and systems related to enrollment and Premium Billing functions. Serve as vendor liaison where appropriate.
- Serves as business expert on electronic eligibility and premium program and processes.
- Prepares time sensitive data analysis and produces monthly measurement standard reports for internal dashboard/performance reporting.
- Maintains/Updates regulated letters using Crystal Reporting
- Responsible for projects and implementations regarding there line of addition to day to day operational duties.
- Follow document process steps to make decisions build relationships with clients and work with multiple departments government agencies and other departments.
Benefits
All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical dental vision short-term and long-term disability group term life insurance and other optional voluntary benefits.
Wellness
Presbyterians Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges webinar preventive screening and more.
Why work at Presbyterian
As an organization we are committed to improving the health of our communities. From hosting growers markets to partnering with local communities Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services
Presbyterian exists to ensure the patients members and communities we serve can achieve their best health. We are a locally owned not-for-profit healthcare system of nine hospitals a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908 we are the states largest private employer with nearly 14000 employees.
Our health plan serves more than 580000 members statewide and offers Medicare Advantage Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Maximum Offer for this position is up to
Compensation Disclaimer
Required Experience:
IC
Key Skills
- LTC Pharmacy
- Accounts Receivable
- Medical Coding
- Accounting
- 10 Key Calculator
- Detailing
- Medical Billing
- Microsoft Excel
- CPT Coding
- Epic
- Medicare
- Contracts
About Company
Find the medical care and health plan you and your family need at Presbyterian Healthcare Services, an integrated system of hospitals, healthcare providers and insurance plans serving patients and members in New Mexico.
