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Business Operations Specialist
2 weeks ago
The Business Operations Specialist provides critical support to the Revenue Integrity department, fostering collaboration with business partners. Key responsibilities include performing retrospective reviews of medical claims payments, ensuring accurate reimbursement processes and identifying areas for process improvement. Additionally, this role involves reviewing and analyzing data to inform strategic decisions and optimize revenue streams.
Key Responsibilities- Perform retrospective reviews of medical claims payments to ensure accuracy and compliance
- Analyze data to identify trends and areas for process improvement
- Collaborate with business partners to resolve issues and optimize revenue streams
To succeed in this role, you will need strong analytical skills, attention to detail, and excellent communication skills. Experience with data analysis and interpretation is highly desirable. A strong understanding of healthcare payment systems and regulatory requirements is also essential.