Business Analyst I
Looking for a Career Opportunity where you can really make a difference?
Health Advocates is seeking a Business Analyst I for our main office in Chatsworth, CA.
Job Summary
The Business Analyst I is responsible for reviewing multiple client insurance claim referrals to determine whether they meet the criteria for acceptance or rejection, while ensuring compliance with contractual agreements, regulatory requirements, and internal policies. This position provides support to the department by assisting with data analysis, trend identification, and report generation, and performs other related duties as assigned.
Qualifications
- High School diploma or GED required. Bachelor’s degree preferred; technical certification highly desired
- 5+ years of hospital collection experience, with strong focus on data analytics
- Strong understanding of healthcare claims processes, including managed care, third-party liability, workers' compensation, and Med-Pay claims
- Intermediate to advanced Excel skills, including the ability to use pivot tables, VLOOKUP, and other analytical functions.
- Strong ability to review and assess large sets of data to identify trends, patterns, and areas for improvement.
- Ability to analyze large datasets, identify patterns, and develop actionable insights to improve claim outcomes and payer performance.
- Excellent written and verbal communication skills, with the ability to effectively present findings and collaborate with diverse teams.
- Ability to identify process inefficiencies and work with others to implement data-driven improvements.
- Strong problem-solving skills to identify and resolve issues related to referral reviews and claims.
- Familiarity with HIPAA and other relevant healthcare regulations, ensuring compliance in all referral and claims processes.
- Strong organizational and multitasking skills, with the ability to manage competing priorities effectively.
- Ability to collaborate effectively within a cross-functional team while also working independently when needed.
Working Title: Business Analyst I
Pay Rate: $32.00 - $50.00 per hour (Depending on Relevant Experience)
Position Type: Full-time; Non-Exempt
Schedule: Alternative Work Week Schedule - Mon-Thurs 7:30 am-5:00 pm & Fri 7:30 am-12:30 pm
Other: We conduct assessment testing and post offer background checks
Benefits
Health Advocates offers a comprehensive benefits package to meet the needs of today's employees. They include: Healthcare and Insurance Benefits, Retirement Benefits, Employee discounts, Employee Assistance Program, Credit Union, Rideshare Incentives, Employee Referral Program, Vacation/Holiday/Sick Leave and other time off.
About Us
Founded in 1990, Health Advocates is the largest privately funded public advocacy company in California providing Eligibility and Recovery services to California public health systems, private hospitals, clinics, health plans, government agencies, and individuals. We are dedicated to identifying medical coverage from third-party sources such as Medi-Cal, Social Security (SSI/SSDI), and other health insurance programs to minimize uncompensated care to the benefit of both our clients and the patients and applicants they serve. Our success is born from a very unique blend of resources, expertise, and an unwavering determination to identify coverage and recovery solutions on behalf of patients that simply have no ability to pay their increasing financial healthcare debts. Innovation and compassion are integral to Health Advocates’ identity and these attributes have historically served our clients very well. We are proud of our past, excited about our future, and confident of our continued success.
This position requires access to confidential protected health information (PHI). Our employees are expected to protect the privacy of all PHI in accordance with Health Advocates’ privacy policies and procedures and as required by state and federal law including but not limited to the HIPAA Security and Privacy Rule.
Health Advocates
21540 Plummer Street, Suite B
Chatsworth, CA 91311
(818) 995-9500 p
(818) 995-6872 f
Health Advocates is an equal opportunity employer. We believe all of our employees should be treated fairly, consistently, and with dignity and respect. Our goal is to maintain a satisfied and productive team of employees. The keys to reaching that goal are effective leadership, fair and competitive wages and benefits, dedication to the job, and close attention to employee relations matters.
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