Business Analyst

Women's Health Connecticut is seeking a full-time, Business Analyst to support our RCM- Payer Policy team! This is a Hybrid position and requires two days per week onsite at the Corporate Business Office in Rocky Hill, CT.

Position: RCM-Business Analyst
Location: Women's Health Connecticut
Address: 175 Capital Blvd. Rocky Hill, CT 06067
Employment: Full-time, 40 hrs
Schedule: Monday- Friday, 8:00a- 5:00p
Hybrid Schedule: 2 days per week onsite (Tuesday and Wednesday). 3 days remote.

The RCM- Business Analyst is responsible to for researching, updating and maintaining payer policies and guidelines affecting revenue cycle.

Essential duties and responsibilities:

• Research and identify changes in medical and reimbursement policies for existing and prospective services/products.
• Navigate through payer websites, portals, newsletters, and other applicable avenues to identify changes in healthcare affecting revenue cycle.
• Maintain and create new payer guideline policies and documents for internal and external use.
• Create and upkeep of billing grids to assist divisions in billing per carrier policy.
• Communicate proactively with members of the revenue cycle team and external customers on changes that affect procedures and existing policies.
• Advise the revenue cycle management team on emerging trends and methodologies, payer relations and other shifting payer reimbursement trends to facilitate ongoing compliance with payer requirements.
• Act as a resource, to understand the payer and reimbursement relationships that affect our revenue cycle business performance.
• Maintain knowledge of services provided and insurance requirements for new and emerging procedures and medical technology with the assistance of other internal departments.
• Participate in monthly/quarterly payer meetings, in-services, education and training to address and resolve issues by overseeing meetings and agenda items with assigned payer representatives.
• Perform payment analysis of major carriers via pre-determined schedule as well as when new contracts are put in place.
• Additionally perform payment analysis of new providers to ensure accuracy of payment schedules with major payers.
• Produce memos and newsletters based on applicable research findings, changes in policies, etc. to educate divisions and other internal departments.

Skills/qualifications/experience:

• High School Diploma or GED, preferred.
• Previous health care environment experience of four (4) years, preferred.
• Knowledge of medical terminology, CPT and ICD-10, required
• Ability to work independently, communicate proactively, manage multiple projects and prioritize daily tasks while managing critical deadlines.
• Ability to develop and utilize cross-functional relationships to facilitate the accomplishment of work goals and objectives.
• Excellent overall oral and written communication skills.
• Strong analytical and interpersonal skills within all levels of the organization.
• Proficiency in Outlook, Word and Excel.
• Demonstrated knowledge base and experience with third party reimbursement.

Job Type: Full-time

Pay: $56,000.00 - $68,000.00 per year

Benefits:

• 401(k)
• AD&D insurance
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid holidays
• Paid time off
• Retirement plan
• Vision insurance

Experience level:

• 4 years

Schedule:

• 8 hour shift
• Monday to Friday

Application Question(s):

• Local to Connecticut

Experience:

• Healthcare: 4 years (Preferred)
• CPT coding: 1 year (Required)
• ICD-10: 1 year (Required)

Ability to Commute:

• Rocky Hill, CT 06067 (Required)

Ability to Relocate:

• Rocky Hill, CT 06067: Relocate before starting work (Required)

Work Location: Hybrid remote in Rocky Hill, CT 06067