Business Analysis Associate II at Quest Diagnostics
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More: Impact Discover a role that empowers some of life's most important healthcare decisions.
Business Analysis Associate II
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Category Corporate Location San Juan Capistrano, California Job function Finance Job family Billing
Shift Day Employee type Regular Full-Time Work mode Remote
Job DescriptionBusiness Analysis Associate II - Monday to Friday, 8:00 AM to 5:00 PMAs a Precision Oncology Billing Analyst, you will optimize the order-to-cash cycle for Oncology and Clinical clients by managing complex billing data, audits, and resolving claim discrepancies (such as denials and missing info). You will partner closely with the Specialty Testing and Precision Oncology Dedicated Support Specialist (PODSS) teams to track the life of an order and deliver predictive insights. This role requires occasional client visits to provide billing training, resolve high-level issues, and champion a seamless patient and client billing experience.Pay range: $32.89/hr+Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.Benefits information:We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects - physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include:Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours Best-in-class well-being programsAnnual, no-cost health assessment program Blueprint for WellnesshealthyMINDS mental health programVacation and Health/Flex Time6 Holidays plus 1 "MyDay" offFinFit financial coaching and services401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of serviceEmployee stock purchase planLife and disability insurance, plus buy-up optionFlexible Spending AccountsMatching gifts programEducation assistance through MyQuest for EducationCareer advancement opportunitiesand so much more!Responsibilities: Data & Analytics Utilize complex data queries from multiple sources to perform quality checks, conduct trend analyses, and deliver predictive/prescriptive insights on operational billing data.Billing Integrity & Auditing Conduct robust billing audits and quality assurance checks to verify source data, reconcile invoice discrepancies, and ensure accurate payer routing.Issue Resolution & Claims Investigate and resolve non-standard billing issues, manage denied claims through to completion, and analyze root causes to prevent future discrepancies.Stakeholder Collaboration Partner with the Specialty Testing and PODSS teams to align client expectations, facilitate resolutions, and escalate complex account matters when necessaryEducation & Communication Develop training materials and conduct educational sessions for internal teams and external payers regarding new billing processes, regulatory changes, or system enhancements.Compliance & Continuous Improvement Maintain strict adherence to state, federal, and organizational billing policies while leveraging audit results to drive downstream operational and system efficiency.Qualifications: Required Work Experience: 2+ year of experience in RCM/finance analysis collecting, analyzing, and presenting data and recommendations to management2+ years of experience with insurance billing, follow-up, and/or denials Preferred Work Experience: Bachelor's degree in Business, Finance, Health Administration or related fieldWorking knowledge of SQL or other Big Data sourcesPhysical and Mental Requirements: Sitting/standing for long periods of timePotential client visits require reliable mode of personal transportationKnowledge: Experience trending, analyzing, and evaluating third party insurance responses in a medical billing environmentQBS/WBS experience Skills: Ability to perform "root cause analysis" to assess insurance denialsExcellent communication, time/project management, problem solving, organizational, and analytical skills Intermediate level of proficiency with PC based software programs and automated database management systems (Excel, Access, PowerPoint) Demonstrated process improvement, workflow, benchmarking and / or evaluation of business processesQualified applicants with arrest or conviction records will be considered for Employment in accordance with the following laws if applicable, the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles'' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the California Fair Chance Act.Quest believes that conviction records may have a direct, adverse, and negative relationship to the following job duties: accessing company property, information, assets, and products including sensitive information; accessing customer data or confidential information, and partnering and regularly working with or supervising other Quest employees and interacting with Quest customers.65503Quest Diagnostics honors our service members and encourages veterans to apply. While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume. Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.
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Culture Our people contribute to fostering an inspiring and supportive workplace where we empower better health for our customers every day. Through our 11 Employee Business Networks (EBNs) employees can grow, connect, and contribute with professional development, mentorship, EBN program offerings, and community engagement. Each of our Quest Employee Business Networks is open to all employees. View more
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Quest Diagnostics is an equal employment opportunity employer. Our policy is to recruit, hire and promote qualified individuals without regard to race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any any other legally protected status . Quest Diagnostics observes minimum age requirements established by federal, state and/or local laws, and will ask an applicant for verification when deemed necessary. Quest Diagnostics is committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation because of a disability for any part of the employment process, please complete the accommodation request form.
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| Location | San Juan Capistrano, CA |