Eligibility Verification and Reporting Specialist

4 weeks ago

Monterey, California, United States Astrana Health Full time
About the Role:
Astrana Health is seeking a highly motivated Eligibility Verification and Reporting Specialist to join our team. This role will report to the Director of Enrollment and Eligibility and enable us to continue to scale in the healthcare industry. This is a hybrid role where the expectation is to work both in the office and at home on a weekly basis.

Key Responsibilities:
• Ensures daily, weekly, and monthly reports are generated timely and distributed accordingly to internal and external parties.
• Prepares data in presentable format that can provide clear and concise content.
• Develops and distributes various department reports and data analyses.
• Develops appropriate recommendations and suggestions based on analysis and collaborates with management in the development of action plans where required.
• Acts as a resource to staff to the eligibility team related to reporting requirements and regulatory compliance.
• Creates QA methods to validate data integrity (i.e., duplicate records, missing data, etc.).
• Uses best practices to analyze root cause and be able to identify source of problems and provide reasonable resolution.
• Generates, analyzes, and stores reports for Eligibility Operation teams to review.
• Maintains trends and tracks various measures to fully utilize the capabilities of databases and data files.
• Serves as a liaison between departments analytical needs and technical data storage systems and files.
• Creates a centralized report repository for all Eligibility Operation teams.
• Prepares ad-hoc reports and analysis as needed.

Requirements:
• Demonstrated data visualization, dashboarding and querying expertise.
• Demonstrated ability to be a self-starter, assertive, enthusiastic, and self-directed with excellent communication skills and customer-service orientation.
• Exceptional organization skills and attention to detail; a high degree of ownership for projects, and strong follow-through
• Proven ability to work in a fast-paced, iterative cycle with multiple projects under scheduled deadlines.
• Demonstrated ability to understand and explain issues from both a technical and a business functional point of view.
• Experience working with customers and collaborating on solutions.
• Quality oriented, innovative, analytical, steadfast, and efficient
• Experience with SQL SSRS, PowerBI, or Tableau, MS Office suite.

About Astrana Health:
Astrana Health is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.
Our platform currently empowers over 10,000 physicians to provide care for over 1.9 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.
Our Values:
• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team

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