Senior Business Analyst

5 - 10 years

11 - 21 Lacs

Posted:21 hours ago| Platform: Naukri logo

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Work Mode

Hybrid

Job Type

Full Time

Job Description

Role & responsibilities

  • Complete analysis to define problem size, quantify impact through metrics, and create return-on-investment (ROI) tracking for optimization projects, which may include denials, claim edits, ERA/EFT setup, eligibility validation, and other billing system components, etc.
  • Use SQL and other analytical tools to perform data validation, root-cause analysis, and performance measurement related to optimization and onboarding initiatives.
  • Perform analysis on claim workflows for denials, rejections, acknowledgments, and payments; identify root causes and recommend fixes.
  • Make updates in billing systems to implement optimization initiatives and corrective actions.
  • Facilitate requirements gathering for new enhancements, automation, and optimization projects.
  • Translate business needs into system requirements and partner with IT to implement and validate changes.
  • Partner with stakeholders to prioritize optimization projects that drive efficiency, reduce rework, and improve revenue cycle outcomes.
  • Support client onboarding through data collection and analysis, internal coordination, SOP documentation, and postgo-live performance metric reviews.
  • Create and maintain business cadence reports tracking portfolio performance, ticket support metrics, and client survey outcomes.
  • Conduct ad hoc research and analysis to support leadership with actionable insights and performance reporting.

Preferred candidate profile

  • 5+ years of experience in healthcare revenue cycle management, billing system optimization, or process improvement.
  • Strong SQL, Excel, and data analysis experience required.
  • Experience with revenue cycle or billing platforms (e.g., MedSuite, Epic, IDX, NextGen, or similar).

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Ventra Health

Healthcare Technology / Revenue Cycle Management

Brentwood

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