Business Analyst Ii
Current- Responsible for providing daily reports from EDW and Amisys for Claims Analysts to ensure timely payments to providers avoiding state sanctions. Developed, produced, and distributed daily, weekly, and monthly reports.
- Create detailed adhoc reports for claims analysts to assist in resolving issues that prevented claims from processing and providing payment to providers.
- Provide guidance to claims analysts using data analysis to resolve claims issues.
- Worked on project to identify overpayments to providers that lead to the recoupment in 2020.
- Reduced the negative balance of providers in 2020 by identifying changes and updates in Tax Identification Numbers of providers enabling PHW to reassign funds owed back by providers.
- Maintained Access databases for tracking claims as they progress through the claims process.
Mar 2020 - Present
