Business Analyst AHA

• Claims analysis: Analyze claim issues and inquiries, perform root cause analysis, and implement corrective actions for resolution.
• Error resolution: Research incorrectly processed claims, provide solutions, coordinate repairs, and deliver re‑education or system enhancement requests.
• Process improvement: Apply data, bots, and applications/tools to continuously improve claims processes.
• Knowledge sharing: Share expertise with team members, instill process improvement opportunities, and schedule recurring meetings to maintain momentum.
• Business process evaluation: Develop, implement, test, and maintain technology solutions for cost‑effective and quality improvements.
• Data and documentation: Pull required data and assist with documenting processes and work procedures.
• Subject matter expertise: Represent the department as a SME in meetings, projects, and company initiatives.
• Other duties: Perform additional responsibilities as assigned.

• Experience: 3+ years in medical claims processing, adjusting, or healthcare administration.
• Healthcare knowledge: Experience with health systems in billing revenue, provider data, and medical claims administration.
• Technical skills:
• • Advanced Microsoft Office (Excel, Word, PowerPoint) and Microsoft platforms.
  • Working experience with SQL and Access.
  • Tableau experience preferred.
  • Familiarity with desktop tools, operations processes, and technology.

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