Public Consulting Group

Revenue Cycle Operations Analyst

Job Locations US-NH-Portsmouth | US-ME-South Portland | US-MA-Boston
Posted Date 6 days ago(6/9/2021 2:55 PM)
Job ID
2021-6697
# of Openings
1
Category
Process and Analytics
Type
Regular Full-Time
Practice Area
Health Services

Overview

About Public Consulting Group

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

  • Supports multiple projects through operational tasks and analysis of EDI transactions, specifically 837, 999 and 277’s, 3M and Optum Groupers
  • Conduct provider trainings PCG claims processing system and maintain training material
  • Perform user acceptance testing for updates made to PCG’s claims processing system, as well as other internal systems as needed
  • Create reports on an ad-hoc basis for clients or providers
  • Communicates effectively with providers on requests sent via email, providing information and assistance to questions regarding PCG’s claims processing system
  • Create and maintain policies and procedure on claims processes
  • Work collaboratively with others in order to meet client requests and deadlines
  • Analyze large data sets and maintain quality control measures
  • Support system implementations and enhancements

Qualifications

  • Excellent verbal and written communication skills
  • Experience with Microsoft SQL Server Management Studio preferred but not required
  • Strong attention to detail
  • Experience with Microsoft Office applications, Basic Knowledge of Excel required
  • Knowledge of EDI transaction files preferred

Education: Bachelor's degree is preferred but not required.  Relevant work experience will be considered.



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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