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Athugalpura Success. Tech One Sanje. Asat Elstone. Find remote jobs in other countries that you can do from Sri Lanka. Find engineering, finance, banking, government jobs in Sri Lanka on Sri Lanka's largest jobs site JobEka. Jobs Companies. Job title, Keyword. Company name. Business Systems Analyst Home Jobs Business Systems Analyst. Business Systems Analyst The Ohio State University Apply Now Browse jobs.
Job details Job type full-time Full job description Screen reader users may encounter difficulty with this siteFor assistance with applying, please contact hr-accessibleapplication osu. edu If you have questions while submitting an application, please review these frequently asked questions.
Current employees and students: If you are currently employed or enrolled as a student at the ohio state university, please l og in to workday to use the internal application process. Prior to submitting your application, please review and update if necessary the information in your candidate profile as it will transfer to your application. Scope of position The rbo systems analyst is primarily responsible for planning, developing, building, testing and implementing detailed system s build to support the needs of the rboThe systems analysts utilizes their operational knowledge of the best business plan writing for hire for university business functions to best business plan writing for hire for university workflows and associated system build to complete workflowsThe systems analysts also assist s the manager and director best business plan writing for hire for university the rbo in the development, implementation, and evaluation of the rbo and services provided to both internal and external customersThe systems analysts shall work in concert best business plan writing for hire for university the manager and director to support operational planning needs to for initiatives such as ensuring compliance requirements are met to preserve the integrity of the osumc finance compliance plan.
Serves as liaison and resource to customers physicians, researchers, health system staff, department headsand patients on operations.
Administrator of epic research billing help desk work queue. Completes workday journal entries for research billing. Responsible for data courier of build from epic poc to tstResponsible for completing entries in changed control for the movement of the build to prd.
Supports carelink study monitor requests. Identifies appropriate data elements and runs hcc queries to analyze data for complex research rate requests. Creates appropriate tools spreadsheets, databasesgraphs, charts, etc. required to d evelop, implement, best business plan writing for hire for university, and analyzes workflows, programs and systems in regards area needs. Generates a variety of reports for use by internal and external customersPerforms quantitative and qualitative analyses of the data to determine the status of the rboUtilizes the data to inform appropriate constituencies of status, make operational decisions, and quality improvement.
Coordinates with services departments to complete research rate requests. Gathers all required information lab packet, compliance forms. Communicates research rates and new institutional accounts to appropriate personnel. Schedules appointments for blinded specimen processing.
Subject matter expert on system management of research and institutional billing. Research billing t rainer responsible for teaching new research staff on research billing responsibilities. Monitors over work queues in bil ling system for hospital and professional servicesIdentifies when queues are not being worked and resolves.
Monitors other institutional related claims on hold in electronic billing system and delegates as needed Requires an understanding of insurance and reimbursement to be able to troubleshoot issues and offer solutions to edits, rejections, and denials.
Prepares and bills initial and secondary claims using hospital system by understanding, applying 3 rd party rules and regulations especially for researchand reviews for coding appropriateness Resolves billing errors on both patient and institutional accounts for hospital and professional.
Reviews, researches and corrects claims errors, disputes, and rejections due to research to resolve and facilitate payment of denied claims Contacts 3 rd party payers to seek resolution to billing issues or claim rejections. R eview s new studies to evaluate the research pre-determination requirements. Assists in preparing research pre-determination templates. Submits necessary documentation to payer in order to verify medical necessity of specified services.
Maintains database for all patients requiring pre-determination. Arranges patient and customer-friendly access to hospital and medical staff services for patients receiving research best business plan writing for hire for university services.
Serves as a contact for research pre-determination issues, best business plan writing for hire for university. Investigates and works to resolve problematic insurance coverage related to out-of-network provider status and policy benefit language that may prevent the patient from receiving the services identified; maintains familiarity with aspects of the patient intake process to facilitate early detection of problems.
Identifies situations when clinical expertise is required to resolve administrative issues and escalates them to the director. Makes recommendations for ongoing improvement regarding patient communication tools specific to insurance coverage and pre-determination. Contacts patients as necessary with a focus on customer service ; Maintains communication and coordination with the health system departments of scheduling, admitting, insurance pre-certification, financial counseling, managed care contracting, clinical areas, patient accounting as well as physicians, best business plan writing for hire for university, principal investigators, and research staff.
Manages research denial tracking log. Assists with preparing submissions to medicare for approval of investigational device ide studies. Creates strong business partnership with managers and others in key positions within the organization. Directs, develops, and manages data on all research and institutional accounts monitored by the rbo.
Develops standard operating procedures and policies. Develops and manages rbo required forms. Provides excellent customer service to internal and external customers.
Serves as a liaison and res ource for institutional billing activitiesDevelops and maintains working relationships with key departments scheduling, best business plan writing for hire for university, pre-certification, registration, revenue management, financecollege of medicine office of research, ccts, ctmo, ccc cto, office of sponsored programs, research departments.
Serve as a training resource in creation of clinical research billing compliance cbl. Draft purchased service agreements for clients. Kronos backup timekeeping editor. Performs random and for cause audits of studies for research billing compliance. Assists staff as needed with complex daily issues. Identifies area trending and process improvement opportunities.
Responds to customer inquiries in a timely manner. Delegates pending customer service issues to appropriate staff. Performs other duties as instructed by management. O rganization and administration skills strongly desired. Experience with excel, access, and powerpoint programs to the point of being able to quickly and succinctly understand new computer processes required. Experience with healthcare billing including system applications, user training and a strong knowledge of the health insurance industry.
Knowledge of health system operations strongly desired. E xperience with insurance verification strongly desired. E xperience with epic strongly desired Proficiency in epic research billing strongly desired. Able to demonstrate independence, self-initiative, thoroughness, and attention to detail, best business plan writing for hire for university.
Ongoing : Demonstrates competency in cognitive and interpersonal skills required to meet essential job functionsRemains current with departmental systems and computer softwareMaintains current knowledge of regulatory changes and trends in the health care environmentAttends continuing education seminars on job-related topics.
While performing the duties of this job, the employee must be able to: Ability to organize time and tasks effectively, deal with problems in priority order, and adjust schedules accordingly. Ability to analyze a situation, problem-solve, develop a strategy, and makes independent decisions, using proper judgment and initiative. Ability to communicate clearly in order to facilitate the patient care plan or other outcomes. Ability to move objects weighing up 30 lbsAround the work environment in order to assist in operations.
Work environment The work environment involves everyday risks or discomforts which requires normal safety precautions typical of such places as offices and meeting rooms i. eUse of safe work practices, avoidance of trips and falls, and observance of fire regulations and traffic signs. Note: the above statements are intended to describe the essential functions and related requirements of persons assigned to this jobThey are not intended as an exhaustive list of all job duties, responsibilities, and requirements.
Additional information: Location: Remote location Position type: Regular Scheduled hours: 40 Shift: First shift Salary grade: Health system annual Final candidates are subject to successful completion of a background checkA drug screen or physical may be required during the post offer process. Thank you for your interest in positions at the ohio state university and wexner medical centerOnce you have applied, the most updated information on the status of your application can be found by visiting the candidate home section of this sitePlease view your submitted applications by logging in and reviewing your statusFor answers to additional questions please review the frequently asked questions.
The ohio state university is an equal opportunity employer. Applicants are encouraged to complete and submit the equal employment identification form. Not available. Apply Now. Company details. The Ohio State University Global Worldwide.
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