Sr Business Process Analyst- RCM Analytic and Specialty Support (Remote)

Company: Labcorp
Location: Burlington
Posted on: March 17, 2023

Job Description:

The Sr. Business Process Analyst is responsible for supporting Labcorp Specialty Services, including Integrated Oncology and Integrated Genetics and the Payor Policy and Relations teams by:

• Efficiently and effectively tracking evolving payer authorization requirements
• Ensuring system and or workflow updates based on payer updates related to authorizations for billing-related services
• Partnering with management team members in logistics, specimen handling area, customer services, sales, and laboratory departments daily to troubleshoot and resolve specimen issues
• Identifying and articulating business partner needs to appropriate leadership to ensure core business expectations and met
• Monitoring all KPI reports for specialty support including but not limited to prior authorization and appeal efforts to ensure defined team and department goals are being met
• Compiling, delivering and communicating statistics for industry incidents, events, or updates that impact the business
• Actively supporting the execution of strategic initiatives, process design/re-design root cause analysis, metric/report development for prior authorization and Labcorp specialty support services projects
  Qualifications preferred:Associate degree in accounting business office practices computer science or other related area or equivalent experience Two to three years of progressive work experience in laboratory denials, authorization or business process improvement
  Competencies: Strong communication skills (verbal and written) Ability to form and develop team relationships with varying levels of staff Confidence in asking probing/clarifying questions to varying levels of staff Create and maintain productive and professional relationships across the enterprise and externally Ability to mine, analyze, understand and organize large amounts of data Maintain objectivity and communicate relevant findings to varying teams/varying perspectives (RCM, Sales, Marketing, etc.) Ability to understand workflows from specimen inception to final claim adjudication/payment Ability to learn external operating systems as needed Intermediate to advanced Microsoft application experience Excel, Access, PowerPoint, Word) Macros a plus Knowledge of Healthcare Reimbursement a plus Ability to research and comprehend medical policies a plus Experience in root cause analysis, developing and implementing process improvements related to utilization, third-party payers, financing, data, and advocacy. Working knowledge reimbursement policy issues. Working knowledge in revenue cycle (all aspects) and government and commercial payer arrangements. Meticulous attention to detail, critical thinking skills, intellectual curiosity, and the desire to be hands-on in addressing issues and questions bringing them to a successful resolution. Ability to create and present meeting materials and facilitate discussions Approachable and willing to engage with diverse personalities and stakeholders, including colleagues, insurance officials, business partners, legal counsel, consultants, and the public Familiar with ICD10 and CPT-4 coding. Ability to effectively manage multiple demands working under moderate to high degrees of pressure Ability to multi-task and problem-solve with strong organizational skills Ability to adhere to strict timelines to avoid costly denials
  Pay: Salary range $ 46,8K - $84,3KBenefits: All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. Regular, full-time or part-time employees working 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(K), ESPP, Paid time off (PTO) or Flexible time off (FTO), Commissions, and Company bonus where applicable. For more detailed information, please click here .
  Labcorp is proud to be an Equal Opportunity Employer:
  As an EOE/AA employer, Labcorp strives for diversity and inclusion in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications of the individual and do not discriminate based upon race, religion, color, national origin, gender (including pregnancy or other medical conditions/needs), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. We encourage all to apply.
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Keywords: Labcorp, Burlington , Sr Business Process Analyst- RCM Analytic and Specialty Support (Remote), Professions , Burlington, North Carolina