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Company

Original Job Post

Availity · 2 days ago

Data Analyst III

Florida, United States

Full-time

Remote

Senior Level

5+ years exp

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FitnessHealth Care

Growth Opportunities

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Responsibilities

Collaborating closely with business stakeholders to define project scope and requirements focused on the Clearinghouse Billing process

Performing in-depth analysis of healthcare billing data to identify discrepancies, errors, and opportunities for improvement

Developing various reports using Power BI or other SQL-based reporting tools to monitor billing performance metrics

Troubleshooting billing related issues and recommending corrective actions for data accuracy and integrity

Documenting data analysis methodologies, findings, and recommendations in clear reports

Performing regular audits of billing data to verify compliance with regulatory requirements and industry standards

Applying statistical, predictive modeling, and data mining techniques to develop analytical solutions

Enhancing data cleaning and curation methodologies to ensure accurate and reliable inputs to analysis and predictive modeling

Identifying data abnormalities, root causes, and suggesting steps for mitigation

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

SQLPythonReporting automationData visualizationIBM CognosPower BITableauLookerExcelBI toolsRelational databasesData analysisRoot cause analysisData manipulationData queryingRelationship buildingProject managementProblem-solvingCommunicationTeamworkAdaptabilityHealthcare Data AnalysisX12CPT/HCPCSICD-10ZuoraCognosData WarehouseInformaticaETL Tools

Required

Bachelor’s degree (preferably Information Systems, Computer Science, Statistics, Business Management, or equivalent Certifications)

5+ years of related experience scripting and data manipulation languages such as SQL and Python

5+ years of experience and proficiency in automating reporting and building visualizations and some administrative exposure in tools such as IBM Cognos, Power BI, Tableau, Looker, Excel, or other related BI tools

Proficiency in relational databases; design, structure, data associations, and query language

Experience in conducting root cause analysis and recommend corrections to data issues reported by customers or exceptions reports

Experience in cross-examination of multiple data sources to provide actionable insights and feedback

Ability to develop strong relationships with management and team to enhance knowledge and lead project work with minimal direction. Maintains composure and professionalism in a fast-speed environment

Able to plan work, set clear direction, and coordinate own tasks in a fast-paced multi-disciplinary environment. Proficient at triaging issues, identifying data abnormalities, and debugging software

Capable of clearly presenting findings in oral, written, and graphical forms.

Flexible and able to embrace change

Preferred

Experienced in manipulating and analyzing large-scale health administrative claims (Commercial, Medicare), billing, operational, customer service and click-stream data, knowledge of different dataset’s limitations and strengths

Experience in healthcare industry data such as X12, CPT/HCPCS, ICD-10

Helpful to have experience with Zuora, Cognos, Data Warehouse, Informatica, and other ETL tools