Note: The job is a remote job and is open to candidates in USA. Gainwell Technologies is a company focused on improving health and well-being through technology. As a Business Analyst - Healthcare, you will collaborate with clients to document business needs and ensure they are met, while also managing client expectations and assisting with system updates.
Responsibilities
- Ensure that items are prepared for client meetings
- Ensure Operating Procedure Manuals are updated as required
- Work with the client on change requests, publications and claim adjustments/reprocessing
- Research, identify, and specify solutions to problems
- Document updates for all reference updates/changes
- Work with the systems team on any assigned system changes, meeting required timelines
- Assist with quarterly and annual CPT, HCPCS and diagnosis code updates in the system, ensuring rules are correct and working on edit and audit configuration
Skills
- 3+ years as a Business Analyst with healthcare claims experience required
- Proficiency in CPT, HCPCS, and ICD-10 coding
- Ability to work collaboratively in a team environment, including making updates to reference systems for coding (CPT, HCPCS, ICD-10) and benefit plan coverage
- Strong Excel skills
- Excellent verbal and written communication skills with the ability to build strong working relationships
- Ability to create and maintain manual documentation and support provider notifications
- A Certified coder is preferred
Benefits
- Generous, flexible vacation policy
- Educational assistance
- Comprehensive leadership and technical development academies to help build your skills and capabilities
- Fully remote options from continental US locations only
- 401(k) employer match
- Comprehensive health benefits
Company Overview