Healthcare Data & Billing Analytics Specialist

University of Massachusetts Medical School; Westborough (MA); On-site; USD 70,000 - 110,000; Full time

Job summary

University of Massachusetts Medical School is seeking a Health Care Data Analyst to develop and maintain financial, claim-related and program performance reporting databases, reports and processes. The role requires interpreting state and federal requirements and reimbursement methodologies to deliver accurate management reporting in a fast-paced environment.

You will analyze large datasets, produce ad-hoc reports for management and clients, assist with system testing, ensure data quality, and

Qualifications

• Bachelor's degree in Finance, Economics, Business Administration, Accounting, Health Care Financing, or a related field.
• 3-5 years of federal claiming, medical billing or related financial experience.
• Ability to create complex spreadsheets and reports using Excel, Access or similar tools.
• Strong analytic and auditing skills.
• Independent problem solving and quality control measures.
• Excellent organizational and multitasking skills with ability to meet deadlines.
• Excellent interpersonal skills.

Responsibilities

• Develop and maintain data-driven financial, claim-related, and program performance reports for internal management and external clients.
• Perform compliance reviews of program data, including claims and payments, for quality assurance and integrity.
• Analyze large data sets to identify issues, inform decisions, and monitor changes.
• Apply knowledge of program systems to troubleshoot issues and support users.
• Assist in internal control design to ensure data quality.
• Prepare claims data for submission and ensure regulatory compliance.
• Produce ad-hoc reports to meet management requests and public records needs.
• Communicate program requirements and reimbursement methodologies to stakeholders.

Skills

Analytical skills

Auditing skills

Problem solving

Interpersonal skills

Education

Bachelor's degree in Finance, Economics, Business Administration, Accounting, Health Care Financing, or related field

Tools

Microsoft Excel

Microsoft Access

Job description

University of Massachusetts Medical School is seeking a Health Care Data Analyst to develop and maintain financial, claim-related and program performance reporting databases, reports and processes. The role requires interpreting state and federal requirements and reimbursement methodologies to deliver accurate management reporting in a fast-paced environment.

You will analyze large datasets, produce ad-hoc reports for management and clients, assist with system testing, ensure data quality, and