Regal Medical Group · 2 months ago
Healthcare Claims Data Analyst (Los Angeles candidates only)
Northridge, CA
Full-time
Onsite
Mid Level
$30/hr - $30/hrRegal Medical Group, INC is one of the fastest growing Independent Physician Associations in Southern California, offering a fast-paced and supportive work environment. The Healthcare Claims Data Analyst is responsible for overseeing benefits configuration, ensuring data integrity, and coordinating with Data Management staff to support the effective operation of internal systems.
Health CareMedicalTherapeutics
Responsibilities
Provides daily oversight of benefits configuration, research and audit
Develops and Implements data integrity initiatives for all supporting system configuration including fee schedules, provider contracts, benefits, eligibility and any other areas that support the effective operation of internal systems
Coordinates with Data Management staff to provide standards be followed and performs random audits
Communicates and implements programs within focused area of responsibility
Communicates, monitors and audits processes and procedures necessary to achieve strategic objectives
Ensure all systems within their area of responsibility are reliable, responsive and support to the needs of the Regal Medical Group network
Develops and fosters a customer satisfaction focused, service mentality within department to strengthen and build relationships with Heritage Provider Network and other Regal Medical Group regions and departments and communicates a balanced view of Data Management importance in relation to other departments and business functions
Supports initiatives that are identified, communicates and negotiates projects with the users and management
Achieves successful delivery of data management deliverables meeting internal and external client needs
Serves as an alternate client liaison for data management benefits issues
Administers and ensures timely completion of all projects
Reviews data management plans for content and structure
Performs other duties as necessary
Qualification
Required
Proficiency in Word, Excel, Access, PowerPoint, M.S. Project, Outlook, EZCAP, REA, ClearIQ (TransUnion), PRNLINK, and Encoderpro
Knowledge in SQL Server
Typing/Data entry skills and accuracy
Proficiency in running data queries and data analyzing
Excellent time management skills
Outstanding communication skills
Knowledge of Claim adjudication process (Professional & Institutional)
Fee schedule knowledge
Ability to be a problem solver
Preferred
Knowledge and experience in Project Management
Diagnosis and procedures codes knowledge
Understanding of the Health Care industry, benefits, and eligibility processes
Medical group or IPA operations and information systems management
A bachelor's degree from a four-college or appropriate industry experience and/or certification
Benefits
Employer-paid comprehensive medical, pharmacy, and dental for employees
Vision insurance
Zero co-payments for employed physician office visits
Flexible Spending Account (FSA)
Employer-Paid Life Insurance
Employee Assistance Program (EAP)
Behavioral Health Services
401k Retirement Savings Plan
Income Protection Insurance
Vacation Time
Company celebrations
Employee Assistance Program
Employee Referral Bonus
Tuition Reimbursement
License Renewal CEU Cost Reimbursement Program
Business-casual working environment
Sick days
Paid holidays
Mileage
Company
Regal Medical Group
Regal Medical Group is an acute care community hospital that provides health care, therapies, pediatrics and dermatology services.
Founded in 1994
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Jennifer Dunphy, DrPH, MBA, MPH
Chief Population Health Officer | Senior Vice President
Jeanette Grandes
Executive Assistant to Senior Vice President and Chief Operations Officer
Recent News
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