Systems Analytics and Support Specialist

1 week ago

King of Prussia, United States PromptCare Companies Inc Full time
Job DescriptionJob DescriptionDescription:

PromptCare is seeking a highly detail-oriented problem-solver with a passion for accuracy. Join our collaborative team as a Systems Analyst and Support Specialist Thrive in a learning environment where critical thinking is key to ensuring accurate healthcare reimbursement.

In this role, you will be responsible for overseeing and maintaining the Brightree application, specifically focusing on the reimbursement function. You will ensure accurate reimbursements by managing price tables, implementing validation rules and quantity limitations, to name a few. To learn more about our company, please visit PromptCare In-home Respiratory and Infusion


Reports to: Departmental Lead, Supervisor or Manager

Job Type: Full-Time, 40 hours per week, Hybrid, Mon-Fri

Job Location: New Providence


Requirements:
  • Bachelor’s degree preferred, or comparable experience and related work history in healthcare billing or reimbursement environment
  • Previous experience working with the Brightree platform and/or billing experience is preferred
  • Strong understanding of medical reimbursement processes and regulations
  • Proficient in Microsoft Office Suite) and other relevant software programs
  • Meticulous attention to detail and a commitment to quality assurance
  • Strong work ethic with a desire to lead by example
  • Excellent written and verbal communication skills to collaborate effectively with colleagues, management, customers, and insurance representatives


Job Responsibilities, included but not limited to:

  • Maintain the Brightree environment with precision and efficiency. This includes updating price files, quantity limitations, validation rules, and other relevant functions
  • Analyze billing processes and suggest changes to policies, fee schedules, and payer limitations
  • Proactively identify and research payer issues. Maintain open communication with payer representatives to collaborate on solutions
  • Foster a supportive and knowledgeable team environment by providing insightful feedback, training, and education on billing system functionalities, processes, and best practices
  • Utilize the various tools available to effectively maintain and execute assigned tasks
  • Demonstrate strong prioritization skills by identifying complex issues and promptly escalating them to leadership
  • Maintain confidentiality and integrity when working with privileged information related to payer contracts, employee status updates, etc
  • Perform other duties as assigned


Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. Requires the ability to lift files, open filing cabinets and bend or stand as necessary. This position requires the ability to occasionally lift office products and supplies of 20 pounds and no more than 35 pounds.


Benefits & Perks

  • Competitive Salary
  • Medical, Dental, Vision Package
  • 401(k) plan (discretionary)
  • PTO - Vacation, Sick and Personal days, and paid holidays
  • Referral bonuses & Discount Ticket Program
  • Lunch & Learn Programs
  • Employee Recognition Program



Equal Employment Opportunity

The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.


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