Payer Mapping Analyst - QA

VaxCare RCM Team Role

VaxCare is a vaccine management platform that improves immunization rates and vaccine program profitability for healthcare providers. We're a team of vaccine experts, engineers, designers, and big-picture thinkers dedicated to solving the problems faced by modern healthcare practices and staff. By offering relief for headaches in our healthcare system, we work towards our vision : every person, fully vaccinated.

VaxCare has a strong history of sustained growth over the past decade. We are a top 10 buyer / biller of vaccine in the USA, but there is still so much opportunity in front of us to keep patients immunized and communities healthy. We are a selective group, looking for "A+" teammates to help us continue towards our vision.

Do you want to be a part of company making real impact on the world of healthcare?

VaxCare's RCM Team is focused on maximizing partner payments by collecting information, knowledge and money. We research claims, analyze denials and solve problems while adding value to VaxCare's bottom line. As a result, we play an important part in the company's rapid growth!

We are searching for someone who is passionate about collecting good data and problem solving. In this role, the ideal candidate will analyze data and mitigate our Partner's financial risk.

What To Expect In This Role

Mapping of insurances between Partner EMRs and VaxCare's system

Evaluate the mix of payers and payment types for new Partners prior to Go-Live

Use SQL queries and Excel to pull and analyze Partner data

Analyze trends within Partner data and provide summary reporting with insights

Work cross-team to resolve issues that present in Partner data

Qualities Of The Ideal Candidate

Strong Excel skills

SQL Experience preferred

Analytical with strong problem solving skills and ability to derive insights from data

Clear communication

Self motivated ability to jump in where help is needed

Detail oriented and focused pays attention to details and checks their work for quality

Critical thinker ability to brainstorm possible solutions with limited direction

Good judgement ability to make quick decisions based on available data