Bachelor's degree or higher
5+ years professional work experience in:
o Data Stewardship, Data Governance, Data Management and Data Quality practices
o Healthcare Payer Claims Transactions and Revenue Cycle operations
o Claims Transaction data standards and operations, including:
Patient check-in and registration
Eligibility verification
Medical coding - ICD-10, CPT, HCPCS, SNOMED CT - ASC X12N Implementation Guides
Claim submission
Claim processing
Claim payment
Claim reconciliation
Coordination of Benefits
Strong communications skills; written, verbal and presentation
Self-driven and able to function with minimal direction
Has the ability to engage business and data stakeholders to resolve questions or issues
Must have the ability to handle multiple and sometimes competing priorities in a fast-paced environment
Must be able to think creatively, innovate and flex where needed - quick/adaptive learner and collaborator/team player
Must have strong analytical and problem-solving capabilities
Able to strategize across complex, cross-functional projects and initiatives
Experience in Agile Methodology and tools (e.g., Jira, Rally, etc.)
Intermediate to Advanced data analysis skills and tools (e.g., SQL, SAS, Python, Hadoop, Teradata, Snowflake, Tableau, Collibra, Infosphere, Alation, etc.)