Financial Analyst

• Review and process claims for home health care services, ensuring accuracy and compliance with company policies and regulations.
• Verify patient eligibility and benefits for services rendered.
• Collaborate with healthcare providers to obtain necessary documentation for claims processing.
• Resolve discrepancies or denials by communicating with parents, providers, and insurance companies.
• Maintain accurate records of claims, payments, and correspondence.
• Stay updated on industry regulations and changes in insurance policies affecting claims processing.
• Assist in training and supporting new team members as needed.
• Generate and analyze reports related to claims processing metrics.
• Conduct e-fax, email, call hospital/Doctor office and constantly communicate with the payment
• Provides analysis of financial data and performance measures, trend analysis and monitoring of key financial metrics. Prepares reports for CEO and senior management, including recurring reports and ad hoc reports.
• Partners with the Director of Reimbursement and Director of Revenue Cycle Management to conduct price and rate analysis based on costs and assist in the development of sliding fee scale.
• Provides analysis and information as necessary to support the external audit. Obtains the necessary supporting documentation and prepares analysis as requested by external auditors.
• Participates and/or leads special projects as needed.
• Works with business management and clinical teams to assist in the development of new procedures or processes to improve performance.
• Assist with EMR (electronic medical record) Inquiries and Medical Record Keeping
• Assist to Build and Maintain a Working Office Environment
• All other duties as assigned.
• Develops tools and analytics to perform various types of financial analysis

• Performs other duties as assigned or requested.
• Conforms to all applicable Agency policies and procedures.
• Participate actively in continuing education and in-services.
• Maintains confidentiality of patient information and business trade practices.
• Assumes accountability for reporting incidents and complaints according to Agency policy.

• Treats all information and data within the scope of the position with appropriate confidentiality and security.

• Cooperates fully in all risk management activities and investigations.
• Keeps abreast of changes in healthcare law.
• Maintains Agency/program compliance with local, state, and federal laws as well as accreditation standards.

• Master of Business Administration (MBA)
• Bachelor of Science (BSc) in Computer Science
• Bachelor of Business Administration (BBA)
• Masters

• Bachelor's degree in business administration, Computer Science or related field.

• 3 to 5 years

• 3-5 years of experience in corporate world with demonstrated leadership and managerial skills.
• Able to work during US office hours (8 am- 4pm CST)-Work Hours. BD time 6/7 PM-2/3 AM.
• Strong organizational skills.
• Ability to supervise in accordance with Agency policies and applicable laws.
• Ability to respond to common inquiries or complaints, regulatory agencies, or members of the business community.
• Effective time management.
• Cooperative and professional attitude.
• Advanced written and verbal communication skills.
• Basic math skills related to patient care.
• Ability to work longer as/if needed.
• Flexibility to work varied shifts and evening hours if required.
• Ability to multitask while maintaining confidentiality and professionalism

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