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Healthcare Application Analyst II in Brentwood, TN at PathGroup

Date Posted: 4/17/2018

Job Snapshot

Job Description

JOB SUMMARY:

The Healthcare Application Analyst II works closely with Systems Support Supervisor to complete projects as needed.

JOB RESPONSIBILITIES

ESSENTIAL FUNCTIONS:

  • Support and assist all interfaces of the Billing Application with other Systems/Applications.
  • Billing Application Support – provide support to end users, analyze all modules used in the Business Office to ensure effectiveness, provide recommendations for improvements, etc.
  • Work Queue – Work all requests sent to the queue – performing necessary analysis of issues/requests, providing resolution and feedback, performing necessary additions/modifications to the Billing Application, etc.
  • Assist with the implementation and testing of all upgrades to existing applications as well as new applications/modules.
  • Set up and maintenance of all EDI and Paper Carriers – completing/submitting necessary paperwork for all EDI Carriers, writing logic using the EDI Tool Kit to pull correct data fields, ability to interpret and implement requirements for EDI claims per carrier, testing with carriers, creating carrier specific edits, etc.
  • Set up and maintenance of all ERA for Carriers – completing/submitting necessary paperwork for all EDI Carriers, set up in GE, testing with carriers, testing with end users, etc.
  • Transmission of all EDI Claim Files – this includes ensuring files are processed and accepted, retrieving and reviewing all reports, maintaining logs, distributing reports appropriately, etc.
  • Retrieval of all ERAs – this includes ensuring files are received, logged and distributed in a timely manner.
  • Map and maintain mapping for all Interface Clients – Insurance Carriers, Locations, Relationships, etc.
  • Set up and maintenance of all data dictionaries housed in the Billing Application, as well as the ancillary applications used within the Business Office and Laboratory – this includes ensuring accurate and complete data.
  • Set up and maintenance of all Fee Schedules for PathGroup – Charge Master, Client Billing, Insurance Billing, etc.
  • Analyze, identify and implement resolution for issues related to Interfaces, Insurance Carrier Edits and Statement Edits.
  • Registration and Charge Files – Analyze, generate and process registration and charge files pulled from the Laboratory System.
  • Write Reports to pull data from the Billing System based on user/client needs.
  • Write ClaimsManager Rules.
Work Schedule
Mon-Fri 8:00am-5:00pm
 

Job Requirements

EDUCATION & LICENSURE:

  • High school diploma or GED is required. An Associate’s degree in a related field is preferred.

REQUIREMENTS:

  • Two to three years of prior job-related experience required.
  • Application Support and EDI experience a plus.