Enrollment Data Analyst

What are we looking for in our Enrollment Data Analyst?

Position Title: Enrollment Data Analyst
Location: Oxnard, California
Pay Rate: $ 36 – 48 / hour
Contract Duration: 4 Months

Position Summary

• Eligibility and Revenue Management:
• Monitor daily department operations, including workflows, turnaround times, production, and staffing, to meet business planning and budget guidelines.
• Compile and analyze monthly enrollment data, delivering schedules to departments such as Financial Analysis, Accounting, and Provider Contracting.
• Conduct eligibility reconciliations to ensure exceptions and rejected data are addressed and updated.
• Request and implement necessary programming changes for eligibility management software.
• Client Provider Payments:
• Obtain revenue files, calculate, and prepare provider payments in line with contract requirements and timelines.
• Generate standard reports to detect anomalies affecting revenue capture, investigating and addressing discrepancies to ensure correct payments.
• Communication and Reporting:
• Report regularly to management, effectively communicating results, challenges, and solutions.
• Respond promptly to requests from other departments regarding eligibility and revenue functions.

Requirements

• Education:
• Bachelor’s degree in Business, Accounting, Finance, or a related field.
• Experience and Skills:
• 2+ years’ experience in eligibility and capitation management.
• Proficiency in MS Office Suite.
• Detail-oriented with strong analytical and problem-solving skills.
• Familiarity with revenue and accounting functions.

Preferred Qualifications

• Experience with MS Visual Basic or MS SQL.
• Knowledge of eligibility/insurance verification and managed care administration.

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