Inovalon

Business Rules Support Analyst

Inovalon(2 months ago)

HybridFull TimeMedior$56,000 - $75,000Support
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About this role

The Business Rules Support Analyst is responsible for analyzing and creating healthcare provider business rules to modify and edit medical claims, ensuring timely and accurate claims processing. This customer-facing role supports clients via email, ticketing, and meetings while monitoring system performance and compliance. The analyst helps maintain a high first-pass claims acceptance rate through ongoing research, testing, and collaboration with engineering and operations teams.

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Required Skills

  • Medical Billing
  • Claims Processing
  • Business Rules
  • Rule Building
  • Claim Editing
  • EDI Files
  • Medicare Knowledge
  • Ticketing Systems
  • Client Communication
  • Testing

+7 more

Qualifications

  • Bachelor's Degree
  • Equivalent Work Experience
Inovalon

About Inovalon

inovalon.com

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