Reconciliation Business Analyst
Location: Pearland Administrative Office
Department: KS Plan Advantage
Job Type: Full time
Kelsey-Seybold Clinic. Your Doctors for Life.
Since 1949, Kelsey-Seybold Clinic has served its patients with one goal in mind – combine the expertise of physicians in a variety of medical specialties, with the close personal care of a family doctor. Kelsey-Seybold is Houston’s largest community-based physician group, caring for more than 400,000 patients. With 19 clinic locations, we are growing to meet the health care needs of our diverse patient population. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.
This position is responsible for identifying and reporting to CMS and plan delegates various payment and membership discrepancies in a timely and accurate manner. Payment discrepancies may include but are not limited to state and county code and plan type variances. This position is also responsible for submitting Coordination of Benefit discrepancies to CMS and working reports to identify payment discrepancies. This position is responsible for creating, pulling analyzing reports for internal and external audits and/or other data requests. This position also supports enrollment activities such as daily processing of files, working daily edits and testing enrollment system updates as needed.
EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS
(A = basics; B = preferred)
Associates Degree or 2 yrs equivalent work experience
Proficient in Microsoft Excel and Microsoft Access, and 10 Key touch, Microsoft Word
Proficient in Crystal Report Writing