Business Analysis Associate II

Quest Diagnostics Incorporated; San Juan Capistrano (CA); On-site; USD 93,677,000 - 115,718,000; Full time

Benefits offered by this job

Day 1 Medical

Well-being programs

Blueprint for Wellness

healthyMINDS mental health program

Vacation and Health/Flex Time

Holidays

MyDay off

401(k) with company match

Employee stock purchase plan

Life and disability insurance

Flexible Spending Accounts

Education assistance

Career advancement opportunities

Job summary

Quest Diagnostics Incorporated is seeking a Precision Oncology Billing Analyst to optimize the order-to-cash cycle for Oncology and Clinical clients. You will manage complex billing data, audits, and resolve claim discrepancies while partnering with PODSS teams.

Occasional client visits for training and issue resolution are required. The role offers pay from $32.89/hr+ with possible annual bonus, comprehensive benefits, and opportunities for career advancement.

Qualifications

• 2+ years of experience in RCM/finance analysis collecting, analyzing, and presenting data and recommendations to management.
• 2+ years of experience with insurance billing, follow-up, and/or denials.
• Bachelor's degree in Business, Finance, Health Administration or related field

Responsibilities

• Use complex data queries from multiple sources to perform quality checks, trend analyses, and deliver predictive/prescriptive insights on billing data.
• Conduct robust billing audits and QA checks to verify source data, reconcile invoice discrepancies, and ensure accurate payer routing.
• Investigate and resolve non-standard billing issues, manage denied claims through to completion, and analyze root causes to prevent future discrepancies.
• Partner with internal teams to align client expectations, facilitate resolutions, and elevate complex account matters when necessary.
• Develop training materials and conduct educational sessions for internal teams and external payers on new billing processes and system changes.
• Maintain adherence to state, federal, and organizational billing policies while leveraging audit results to drive efficiency.

Skills

RCM/finance analysis

Data analysis

Insurance billing

Denials management

Communication

Project management

Excel

PowerPoint

Problem solving

Attention to detail

Education

Bachelor's degree in Business, Finance, Health Administration or related field

Tools

SQL

Job description

Business Analysis Associate II - Monday to Friday, 8:00 AM to 5:00 PM

As 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

• Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours
• Best-in-class well-being programs
• Annual, no-cost health assessment program Blueprint for Wellness
• healthyMINDS mental health program
• Vacation and Health/Flex Time
• 6 Holidays plus 1 "MyDay" off
• FinFit financial coaching and services
• 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service
• Employee stock purchase plan
• Life and disability insurance, plus buy-up option
• Flexible Spending Accounts
• Matching gifts program
• Education assistance through MyQuest for Education
• Career advancement opportunities
• and 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 elevate complex account matters when necessary

Education & 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 WorkExperience

• 2+ year of experience in RCM/finance analysis collecting, analyzing, and presenting data and recommendations to management
• 2+ years of experience with insurance billing, follow-up, and/or denials

Preferred Work Experience

• Bachelor's degree in Business, Finance, Health Administration or related field
• Working knowledge of SQL or other Big Data sources

Physical and Mental Requirements

• Sitting/standing for long periods of time
• Potential client visits require reliable mode of personal transportation

Knowledge

• Experience trending, analyzing, and evaluating third party insurance responses in a medical billing environment
• QBS/WBS experience

Skills

• Ability to perform "root cause analysis" to assess insurance denials
• Excellent 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 processes

Qualified 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.

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Quest 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.