Rising Medical Solutions

Rising Medical Solutions is a healthcare organization that leverages advanced technologies to provide innovative solutions and services, currently seeking a Business Application Analyst to join their remote team.

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πŸ“ United States

🧭 Full-Time

πŸ” Financial Solutions, Medical Cost Containment

  • Bachelor's degree, preferably in an IT-related field, and 3+ years of experience.
  • Experience with M365 Power Platform and SharePoint Online.
  • Must have experience with requirements analysis and interaction with business users.
  • Excellent analytical and problem-solving skills.
  • Experience working independently and in a team-oriented environment.
  • SharePoint Online site design experience is a plus.
  • Project Management experience is a plus.

  • Provide support for business users on enterprise level business applications including Microsoft365, PowerPlatform, Teams, and SharePoint Online.
  • Plan and organize enhancement and upgrade projects.
  • Translate business requirements into technical requirements and solutions.
  • Proactively identify improvement opportunities.
  • Formulate use cases, process flows, and training material.
  • Support the creation of test plans and training materials.
  • Collaborate with resources to ensure design requirements align with business processes.

LeadershipProject ManagementBusiness AnalysisData AnalysisSharePointCross-functional Team LeadershipData analysisCommunication SkillsAnalytical SkillsCollaboration

Posted 2024-10-26
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πŸ“ United States

πŸ” Financial solutions, medical cost containment and care management services

  • 3+ years of work with M365 Power Platform and SharePoint Online
  • Experience with requirements analysis and managing cross-functional teams
  • Excellent analytical and problem-solving skills
  • Experience working independently and in a collaborative environment
  • SharePoint Online site design experience is a plus
  • Design and implementation of business process workflows
  • Project Management experience is a plus
  • Bachelor's degree, preferably in an IT-related field

  • Provide support for business users on enterprise level business applications (Microsoft365, PowerPlatform, Teams, SharePoint Online, CRM, GP, etc.)
  • Plan and organize enhancement and upgrade projects
  • Translate business requirements into technical requirements
  • Identify improvement opportunities
  • Quantify results and impacts on key performance indicators
  • Formulate use cases, process flows, and training materials
  • Create test plans and training materials relevant to the project
  • Collaborate with resources to ensure design requirements reflect defined business processes

LeadershipProject ManagementBusiness AnalysisData AnalysisSharePointCross-functional Team LeadershipData analysisCommunication SkillsAnalytical SkillsCollaboration

Posted 2024-10-22
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πŸ“ Chicago, Illinois, United States

🧭 Part-Time

πŸ” Medical cost containment and care management

  • RN (or LPN) with an active professional license or equivalent.
  • CPC and/or CPC-H certification(s) strongly desired.
  • Specialized training in hospital coding, ortho, neuro, rehab, or ER procedures.
  • 3-5 years of clinical experience in acute care, surgery, and/or orthopedic.
  • Workers’ Compensation medical bill review experience is a major plus.
  • Understanding of CPT and ICD-10 codes and Medicare guidelines.
  • Ability to apply knowledge to state fee schedules.
  • Strong communication skills and customer service orientation.
  • Experience in deposition or litigation cases is a plus.

  • Audit medical and billing records to determine if services are reasonable and necessary.
  • Identify and evaluate charges not related to occurrences.
  • Verify charges comply with ordered and authorized services.
  • Initiate contacts with clients and providers as needed.
  • Meet productivity and turnaround time requirements.
  • Adhere to quality standards, billing guidelines, HIPAA rules, and confidentiality.
  • Negotiate and conduct re-evaluation reviews of bills.
  • Serve as a resource for co-workers.
  • Demonstrate cultural sensitivity.
  • Maintain knowledge of company products and customer needs through training and research.
  • Follow report formats and documentation guidelines.
  • Perform administrative duties as requested.

Communication SkillsAnalytical SkillsCollaborationCustomer serviceNegotiation

Posted 2024-10-21
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πŸ“ United States

🧭 Part-Time

πŸ” Medical cost containment and care management

  • RN (or LPN) with active professional license or equivalent within states of operation.
  • CPC and/or CPC-H certification(s) strongly desired.
  • Specialized training in hospital coding, ortho, neuro, rehab, or ER procedures.
  • 3-5 years of clinical experience in acute care, surgery, and/or orthopedic.
  • Workers’ Compensation medical bill review experience a major plus.
  • Understanding of CPT and ICD-10 codes and Medicare guidelines.
  • Ability to apply knowledge to state fee schedules.
  • A customer service orientation, including strong communication skills.
  • Experience in any deposition or litigation cases a plus.

  • Audit medical and billing records to determine if services provided are reasonable, appropriate and necessary.
  • Clinically identify and evaluate any charges not related to the occurrence.
  • Verify that charges are in accordance with the services ordered and authorized.
  • Initiate appropriate contacts with clients and medical providers as appropriate and necessary.
  • Consistently meet productivity and turn-around time requirements.
  • Adhere to quality standards, state billing guidelines, HIPAA rules, and confidentiality of all information, policies, and procedures.
  • Negotiate bills and conduct re-evaluation reviews as required.
  • Serve as a resource person to co-workers.
  • Demonstrate sensitivity to culturally diverse people and situations.
  • Continually improve job skills and maintain in-depth knowledge of all company products and services as well as customer issues and needs through ongoing training and self-directed research.
  • Follow appropriate report formats and documentation guidelines.
  • Perform other administrative or corporate duties upon request.

Communication SkillsAnalytical SkillsCollaborationCustomer serviceNegotiation

Posted 2024-10-15
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