Essential Functions- Responsible for reviewing and analyzing discrepancies by cross-verifying from different data sources
- Familiar with US Healthcare domain knowledge and understanding of healthcare regulations (HIPAA)
- Deep understanding of medical coding, billing, and medical terminologies
- Attention for detail, and Strong analytical skills for processing medical documentation
- Critical thinking and high independent decision making capability
- Proficiency in healthcare information systems
- Ability to navigate through multiple applications
- Operates with urgency in a real time service environment
- Meets individual goals while assisting team to meet team goals
- Defines, communicates and manages workflow and data coordination to support various implementation related reports (i.e., reporting, inventory, capacity reporting, and ad-hoc reports as needed by management)
- May perform other duties as assigned
Desirable Skills- Critical thinking and high independent decision making
- Strong analytical, Reasoning, and Problem solving skills
- Medium competency in excel skills
- Ability to comprehend and write in English for structured written communications. Emails/IMS to be sent to internal teams
- Ability to respond to all inquiries within a timely manner
- Strong interpersonal and communication skills – both verbal and written
- Adaptability/Ability to interpret variable input details
Technical Skills
- Good computer navigation skills
- Typing speed of 25 Words per Minute with 90% Accuracy
- Proficiency in healthcare information systems
- Ability to navigate through multiple applications
Process Specific Skills
- Familiar with US Healthcare domain knowledge and understanding of healthcare regulations (HIPAA)
- Deep understanding of medical coding, billing, and medical terminologies
- Ability to produce high quality in production in environment.
- Ability to troubleshoot, identify user errors vs. system mapping errors (enrollment dates, method, system logic)
Soft skills
- Ability to work independently
- Ability to understand and question established process guidelines for possible process improvements
- Attention for detail, and Strong analytical skills for processing medical documentation
- Possess keen sense of acquiring knowledge
- Adaptable and flexible to work in night shifts
