Public Consulting Group

Operations Analyst II

Job Locations US-RI-Providence | US-Home or Remote Position | US-NH-Portsmouth | US-MA-Boston
Posted Date 4 months ago(5/25/2021 2:38 PM)
Job ID
2021-6655
# of Openings
1
Category
Operation Support
Type
Regular Full-Time
Practice Area
Health Services

Overview

Public Consulting Group, Inc. (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986 and headquartered in Boston, Massachusetts, PCG has over 2,500 professionals in more than 60 offices worldwide. PCG’s Health practice offers in-depth programmatic knowledge and regulatory expertise to help state and municipal health agencies respond to regulatory change, improve access to health care, maximize program revenue, improve business processes, and achieve regulatory compliance. Using industry best practices, PCG’s Health team helps organizations deliver quality services with constrained resources to promote improved client outcomes. To learn more, visit http://www.publicconsultinggroup.com/health/.

Responsibilities

  • Manages client service requests and responds in a timely and professional manner.
  • Load 837 files from third party vendors into EZCAP.
  • Send eligibility files to claims clearinghouses.
  • Manage the loading of daily Eligibility files and reconcile bi-monthly reconciliation files.
  • Manage the loading of Authorization files.
  • Responsible for all loads into QicLink system.
  • Performs multiple levels of QC on data.
  • Communicates effectively with clients and team members to provide information and assistance relative to system support and client management.
  • Analyzes system response data in a timely manner and provides analysis to leadership for review and facilitate timely feedback to clients to ensure quality future data.
  • Recognizes opportunities to develop and document processes and procedures including instruction sets, quality assurance test processes, and procedure manual maintenance.
  • Performs ad hoc tasks related to various projects for a variety of project managers and staff.

Qualifications

  • Medicare and Medicaid experience preferred.
  • Ability to provide superior customer service support via phone and email.
  • Excellent verbal and written communication skills.
  • Analytical skills, including the ability to analyze and organize data.
  • Ability to manage time to meet deadlines and manage and coordinate several ongoing assignments.
  • Ability to work independently and with a team.
  • Ability to troubleshoot customer and system issues.
  • Ability to effectively present information and respond to questions from project managers, clients, and other colleagues.
  • Proficiency in MS Office products.

Education:

  • Bachelor’s degree or higher is preferred, preferably in business, business administration, accounting, social work, public policy, or other closely related fields.

Experience:

  • 2-3 years working in office or corporate environment required; Experience with MS Office suite required.

 

EEO Statement

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

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