HealthPoint (CHC)

Healthcare Business Rules Analyst

HealthPoint (CHC)  •  Lafayette, LA (Onsite)  •  22 hours ago
Apply
AI can make mistakes so check important info. Chat history is never stored.
59
AI Success™

Job Description

The candidate is responsible for handling mid-level support of custom developed accounts receivable software, independent research, and rule authoring. Rule authoring is a form of software development that includes complex computational analysis of system events, conditions, actions, sequencing, branch analysis, and chaining/recursion. Our current rules engine has hundreds of thousands of rules and millions of condition checks that require precise grouping and sequencing to ensure continuity of automated revenue cycle processes. Managing a robust and complex business rule set, as part of a team, includes functions similar to that of software development: debugging, troubleshooting, research, and new rule development.

Job Tasks

  • Complete rule adjustments for allowables and charges
  • Assist in troubleshooting application issues
  • Create effective systems documentation
  • Develop knowledge of the business and workflows
  • Analyze logical conditional pathways to confirm expected results
  • Determine business impacts on workflow and assist in the development of new workflows
  • Interpret business requirements into technical specifications
  • Develop on-going strategies for productivity improvements
  • Analyze rules for logical completeness, correctness, and optimization
  • Coordinate and prioritize multiple projects and deadlines
  • Conduct independent research with technical staff and subject matter experts
  • Recommend changes in testing methods as needed
  • Communicate complex information simply
  • Complete other assigned responsibilities
  • Other Continuity of Operations Duties as assigned

Qualifications

  • Minimum of 3 years of experience in healthcare software systems
  • Bachelor's degree in Health Information Management, Computer Science, MIS, Informatics preferred
  • 1 year of claims processing and reimbursement policy experience or equivalent knowledge preferred
  • Proficiency with Microsoft Office
  • Proficiency querying Microsoft SQL Server or other relational database is a plus
  • Knowledge of structured programming techniques and database methodologies is a plus
HealthPoint (CHC)

About HealthPoint (CHC)

HealthPoint is a community-based, community-supported and community-governed network of non-profit health centers dedicated to providing expert, high-quality care to all who need it, regardless of circumstances. Founded in 1971, we believe that the quality of your health care should not depend on how much money you make, what language you speak or what your health is. Because everyone deserves great care.

Today, HealthPoint is the health care home for more than 100,000 people in King County, Washington. High quality health care is essential to living well and thriving. Yet our region has huge disparities in both access to and quality of care. HealthPoint bridges that gap by breaking down barriers and providing care for ALL regardless of income, insurance, immigration status, or any other circumstance.

We offer a broad range of services (from primary medical and dental, to behavioral health, to natural medicine and acupuncture, to nutrition, to case management) and specialize in providing expert, innovative, and compassionate care to all who need it. That care is provided by over 150 doctors, dentists and other providers PLUS over 200 medical students and residents, dental residents and externs and more each year.

We also work beyond our 17 locations to promote healthy communities. Our mission is to strengthen communities and improve people’s health by delivering quality health care services, breaking down barriers, and providing access to all.

Curious what working at HealthPoint is all about? Check out this video: https://www.youtube.com/watch?time_continue=12&v=qDFlE07Zz_s

Industry
Healthcare & Social Services
Company Size
501-1,000 employees
Headquarters
Renton, Washington
Year Founded
1971
Social Media