Associate's Degree in Computer Science, Health Services or related field, or equivalent combination of education experience. Certification in MS Office 2007 (or more recent), Crystal, Excel, or Access desired.
Minimum of five (5) years’ relevant credentialing experience working in a hospital, physician office or multi-entity credentialing environment. One (1) year’s experience in the training of credentialing workflows and protocols or working in Information Technology. Demonstrates proficiency in the use of software applications, databases, and spreadsheets. Ability to design and develop database financial reports for forecasting, trending, and results analysis in a clear and concise presentation. In-depth understanding of relationships between credentialing, billing, and contracting, thereby optimizing database design, maintenance, and usage. Knowledge of credentialing principles for hospitals/providers as well as networks/payers. Current knowledge of Joint Commission requirements, state regulations, and credentialing processes. Current knowledge of NCQA and Medicare credentialing standards and other regulatory requirements.
The Data Analyst reports to the Director of Revenue Cycle Management, Medical Practices. Under general supervision, performs a variety of duties related to proprietary database and website management, credentialing, software training and maintenance, and monthly reporting.
Job Number: LCS15980