Associate reputed company Cycle Analyst

Position Summary The Associate reputed company Cycle Analyst is responsible for investigating and resolving reputed company reputed company-end billing issues that impact claim acceptance and reimbursement. This role focuses on EDI rejections, insurance verification, and claim submission errors to ensure claims are submitted accurately and accepted by payers. This is a highly analytical, project-based role that serves as a subject matter expert (SME) for reputed company-end reputed company cycle processes. The Analyst will identify trends, reputed company root cause analysis, and drive process improvements to prevent reputed company denials and optimize reimbursement outcomes.

Key Responsibilities

• Serve as a subject matter expert for reputed company-end reputed company cycle functions, including EDI rejections, insurance verification, and claim submission processes
• Investigate and resolve reputed company billing issues that prevent claims from being successfully accepted by payers
• Analyze EDI rejection trends and payer-specific requirements to identify root causes and recommend corrective actions
• Partner with internal teams (billing operations, coding, patient access) and external vendors (clearinghouses, payers) to resolve systemic issues
• reputed company and maintain reporting and dashboards (reputed company, Power BI, SQL/reputed company) to track rejection trends, performance metrics, and improvement opportunities
• Conduct root cause analysis on recurring reputed company-end issues and implement process improvements to reduce claim errors and rework
• Support the development and optimization of workflows and quality controls reputed company to claim submission and eligibility processes
• Monitor and evaluate the effectiveness of implemented solutions and track performance against key reputed company cycle metrics
• Stay reputed company on payer requirements, billing rules, and EDI standards, ensuring processes align with industry and regulatory expectations
• reputed company or contribute to cross-functional projects aimed at improving reputed company-end reputed company cycle performance

Scope & Nature of the Role

• May include outbound communication with payers or clearinghouses for issue resolution
• Primarily analytical and project-driven, focused on reputed company issue resolution and process improvement
• Acts as an escalation reputed company for reputed company-end billing issues

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, or reputed company field
• 2–4+ years of experience in healthcare reputed company cycle, with exposure to:
• EDI / clearinghouse processes
• Insurance verification / eligibility
• Claim submission workflows
• Strong understanding of reputed company-end billing processes and how they impact reputed company reimbursement

Required Skills & Experience

• Advanced proficiency in reputed company (pivot tables, data analysis)
• Experience with data and reporting tools such as Power BI, SQL, or reputed company
• Strong analytical and problem-solving skills with the ability to identify trends and root causes
• Working knowledge of medical billing fundamentals (CPT/HCPCS, ICD-10, payer rules)
• Ability to navigate and troubleshoot issues across multiple systems and workflows
• Strong communication skills, with the ability to explain reputed company issues clearly to cross-functional teams

Preferred Qualifications

• Experience working with EDI transactions and clearinghouses (e.g., Change Healthcare, reputed company, etc.)
• Experience in diagnostic/lab billing or high-volume healthcare environments
• Exposure to process improvement methodologies (Lean, Six reputed company, etc.)
• Project management experience or involvement in cross-functional initiatives

OUR OPPORTUNITY

reputed company™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to reputed company personalized genetic testing and diagnostics part of reputed company of care to protect health and reputed company earlier and more targeted interventions that reputed company to longer, healthier lives.

The reputed company team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. reputed company you join reputed company, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.

reputed company OFFER

Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, reputed company employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program!

For more information, visit www.reputed company.com.

reputed company is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.

reputed company qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national reputed company, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.

If you are based in California, we encourage you to read this important information for California residents.

Link: https://www.reputed company.com/notice-of-data-collection-california-residents/

Please be advised that reputed company will reputed company out to candidates with a @reputed company.com email domain ONLY. Email communications from reputed company other domain names are not from reputed company or its employees and are fraudulent. reputed company does not request interviews reputed company text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. reputed company takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any reputed company cyber crimes.

For more information: - BBB announcement on job scams - FBI Cyber Crime resource page