Application Support Analyst - Bowie, United States - Inovalon

Inovalon Bowie, United States

3 weeks ago

Description

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics.

At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.

Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare's greatest needs.

Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.

Location:
Hybrid. This position will require onsite presence two times a week at our headquarters in Tampa, Florida.

The Application Support Analyst assists in the maintenance of healthcare claim payer edits, transaction compliance and custom business rule development.

Monitor transaction performance, research payer requirements and document business rules. Implementation of rules in the INOVALON Rules Engine logic tool. Identify and track payer transition events associated with Clearinghouse Operations and all products affected by transaction services.

Essential Duties and Responsibilities:
In depth understanding of Electronic Data Interchange

Responsible for accessing payer websites and compliance standards research

Monitor ServiceNow queues and CMP Ticket queues for cases regarding payer edit requests or custom business rules

Supporting other department team members 'real time' as they work with clients

Review correspondence from trading partners regarding changes that may affect ABILITY processes and customers

Perform the necessary research to maintain our goal of 99% FPA on transactions

Determine why certain claims have failed to process, failed to pay or rejected and take necessary actions to remedy

Other projects as assigned

Other duties as requested and/or determined

Maintain compliance with Inovalon's policies, procedures and mission statement;

Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position;

Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Employer.

Minimum

Requirements:
Bachelor's degree or equivalent work experience required

Two or more years' experience working in Healthcare billing or RCM application support

Solid understanding of NCD, LCD, MUE and CCI related billing rules

Proven track record understanding institutional and professional claims billing requirements

Understanding of Medicare, Medicaid, BCBS and commercial payer business rules

Excellent verbal and written communications skills

Excellent time management skills

Self-motivated with strong organizational/prioritization skills

Ability to multi-task with close attention to detail

Proven ability to work effectively under pressure & meet deadlines

Travel:
%

Physical Demands and Work Environment:
Sedentary work (e. sitting for long periods of time);

Exerting up to 10 pounds of force occasionally and/or negligible amount of force;

Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions;

Subject to inside environmental conditions; and

Travel for this position will include less than 5% locally usually for training purposes.

The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity.

At Inovalon, it is not typical for an individual to be hired at or near the top end of the range for their role, and compensation decisions are dependent upon the facts and circumstances of each position and candidate.

Base Compensation Range

$51,100

—

$70,000 USD

Studies have shown that women and people of color are less likely to apply for jobs unless they believe they meet every one of the qualifications listed in a job description.

If you don't meet every qualification listed but are excited about our mission and the work described, we encourage you to apply regardless.

Inovalon is most interested in finding the best candidate for the job and you may be just the right person for this or other roles.

By embracing diversity, equity and inclusion we enhance our work environment and drive business success.

Inovalon strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve.

We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting.

We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

Inovalon is proud to be an equal opportunity workplace and is an affirmative action employer.

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.

We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.

The Company maintains a drug free work environment for all of its associates, which includes employees, contractors and vendors.

It is unlawful for associates to manufacture, sell, distribute, dispense, possess or use any controlled substance or marijuana in the workplace and doing so will result in disciplinary action, up to and including termination of employment or the contracted relationship.

To review the legal requirements, including all labor law posters, please visit this

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