Technical Business Analyst - Healthcare Billing

Overview

We are seeking a detail-oriented and technically proficient Technical Business Analyst with expertise in healthcare billing systems to join our team. This role will serve as a critical link between business stakeholders and IT, ensuring that billing processes are optimized, compliant, and aligned with organizational goals.

Responsibilities and Requirements

• Gather, analyze, and document business and technical requirements.
• Translate business needs into functional specifications and user stories.
• Conduct gap analyses and recommend process improvements.
• Facilitate stakeholder meetings to define project scope and objectives.
• Support QA and UAT efforts by validating test cases and outcomes.
• Analyze system capabilities and recommend enhancements.
• Create and maintain documentation including process flows, data models, and integration maps.
• Troubleshoot and resolve system issues related to billing workflows.
• Analyze and optimize workflows related to medical billing and client‑specific use cases.
• Have knowledge regarding compliance with HIPAA, CMS guidelines, and payer‑specific billing requirements.
• Monitor and analyze order and claim data received from our client.
• Support integration of billing systems.
• Assist in audit and reconciliation processes by providing system data and documentation.
• Develop and maintain dashboards and reports using tools like SQL or Power BI.
• Perform data analysis to support decision‑making and identify trends in billing performance.
• Ensure data integrity and consistency across systems.
• Contribute to project planning, timelines, and resource allocation.
• Support change management initiatives including training and documentation.
• Track and report on project progress, risks, and issues.
• Service Now event logging and verification of change control compliance.

Benefits

• Paid Time Off
• 401k Matching
• Retirement Plan