Business Analyst

Healthcare Legal Solutions, LLC; Washington (District of Columbia); On-site; USD 65,000 - 90,000; Full time

Job summary

Healthcare Legal Solutions, LLC is seeking a detail-oriented professional to manage workload, review medical records, and draft appeals to insurers and governmental payers. You will communicate professionally by phone, access multiple systems to retrieve claim information, and analyze data to support current and prospective clients.

The role requires strong writing, organizational skills, and the ability to lead special projects when needed, with prior clinical or financial experience preferred.

Qualifications

• Degree or equivalent work experience as required.
• GPA at least 3.0 with attention to detail and organization.
• Strong writing and communication skills; able to work under pressure.

Responsibilities

• Review medical records and submit well-written appeals to health insurers and governmental payers.
• Interact professionally by phone to follow up on submitted appeals.
• Navigate multiple computer systems to locate insurance claims information.
• Analyze and interpret quantitative and qualitative data.
• Prepare written reports and oral client presentations.
• Lead special projects when needed.

Skills

Attention to detail

Organizational and time management

Clear, concise writing

Creative problem-solver

Telephone communication

Team collaboration

Education

MA or 2+ years experience

GPA 3.0 or higher

Tools

Microsoft Office

Pivot Tables

PowerPoint

Word

Excel

Job description

Candidates will have to manage their workload, perform under pressure, and work well with the rest of the team.

• Quickly and efficiently review medical records and submit well-written appeals to health insurers and governmental payers.
• Be comfortable, skilled, assertive, cordial, and professional on the telephone to follow up on submitted appeals.
• Navigate through various computer systems and applications to find information about insurance claims.
• Analyze and interpret quantitative and qualitative data
• Prepare written reports and oral presentations for current and prospective clients
• Lead the implementation of special projects as needed

REQUIRED QUALIFICATIONS:

• Either an MA OR 2+ years relevant work experience
• GPA of 3.0 or higher
• Highly attentive to detail
• Excellent organizational and time management skills
• Clear, concise, and logical writing style
• Creative problem-solver
• Advanced knowledge of Microsoft Office, including PowerPoint, Word, and Excel (must-know Pivot Tables)

PREFERRED QUALIFICATIONS:

• Prior experience in a clinical setting (e.g. hospital, doctor's office, outpatient facility) OR in a business/financial setting (e.g. bank, brokerage, accounting or consulting firm)
• Knowledge of data analysis and visualization tools (e.g. Tableau, Stata, R, Microsoft Access)