Senior Systems Analyst

March 15, 2022 Medical Coding

Job title: Senior Systems Analyst

Company: Firstsource Solutions

Job description: Essential Duties and Responsibilities (include but are not limited too):

He/She will be the single point contact between the technology and operations team to receive and process a change request and implement the same.
Responsible for Understanding the Customer Business (BRD) and Converting into Technical Requirement document.
Responsible for reviewing the Test cases documents.
Coordination with Operations UAT team for all the changes and Providing Support to complete the UAT testing.
Make sure that all the Software Processes (SDLC) are followed for the project during the initial implementation as well as during the BAU stage.
Manage the Client and Internal Communication with respect to Policy and Procedure changes and any other system changes/customization, during the BAU stage.
Work with PE, SE (Process excellence, Service excellence) team and OPS team to continuously improve the Productivity and Quality of the services.
Provide 24/7, Production support for the Software Systems. ( 2nd level )
When an issue is generated, the He/She will check if the request has been approved by the PM of the project.
He/She will then analyze the change request, makes sure that the issues are valid and identify whether the change required is a design change or enhancement or whether a new tool is to be developed.
For analysis, he/she will take the help of project leaders involved in the project, both from the technology team and the operations team.
If the requirement is a design change or if a new tool development that needs significant effort from the technology team then he/she will discuss with the management of the company on the feasibility, cost effectiveness, resource allocation plan and acquire the approval of the management before proceeding further.
Once approved, he/she will draw the resource allocation plan after the identifying the resources for this project along with the PL of the Technology team.
He/She will also monitor the progress of the change implementation from the analysis stage to the Issue closure stage and float the required communications to the appropriate people as and when necessary.
He/She will ensure that the Acceptance team has accepted the enhancements before releasing the final product for production.

Knowledge, Skills and Abilities:

Required Knowledge:

Knowledge on SQL
Knowledge on other technologies like XAML, XML, XPATH
Knowledge on US Healthcare Payer and Provider
Knowledge on OCR Capabilities will be an added advantage
Worked on a High end process called Benefit configuration which involves building, coding and maintenance of Health Insurance plans on the ACAS (Automatic Claims Adjudication System)
Good Knowledge on Enrolment Services, Cash Posting, Patient Access Services, Eligibility Services, Medicare Advantage Plan, Receivables Management Services, Self-pay Cash Acceleration Services, Healthcare Collections Services, Front-end Assessments
Good knowledge/experience in ICD, CPT, HCPCS, Dental codes, Provider contracts, Benefit Coding, Overpayment recovery, Quality Control Methods, EDI Transactions,HL7
Interfaced with business users to prepare and update Business Process Requirements (BPR) and Software System Requirements (SSR)
Good knowledge/experience on Revenue Cycle Management (RCM)

Skills Required:

Consultative
Socially confident
Achievement oriented
Decisive and action oriented
Creative
Eager to learn
Resilient
Business Foresight
Influencing Others
Fostering Partnerships With Customers
Managing Transformation
Driving Excellence
Leading Teams
Working Across Boundaries
Strong analytical, conceptual and problem-solving abilities
Interpersonal skills
Problem solving skills
Fast learning skill
Result orientation

Experience and Training Guidelines

Any combination of experience and training that would likely provide the required knowledge and abilities in qualifying

Experience

4-6 years of work experience in Microsoft technologies

Qualifications

Essential Duties and Responsibilities (include but are not limited too):

He/She will be the single point contact between the technology and operations team to receive and process a change request and implement the same.
Responsible for Understanding the Customer Business (BRD) and Converting into Technical Requirement document.
Responsible for reviewing the Test cases documents.
Coordination with Operations UAT team for all the changes and Providing Support to complete the UAT testing.
Make sure that all the Software Processes (SDLC) are followed for the project during the initial implementation as well as during the BAU stage.
Manage the Client and Internal Communication with respect to Policy and Procedure changes and any other system changes/customization, during the BAU stage.
Work with PE, SE (Process excellence, Service excellence) team and OPS team to continuously improve the Productivity and Quality of the services.
Provide 24/7, Production support for the Software Systems. ( 2nd level )
When an issue is generated, the He/She will check if the request has been approved by the PM of the project.
He/She will then analyze the change request, makes sure that the issues are valid and identify whether the change required is a design change or enhancement or whether a new tool is to be developed.
For analysis, he/she will take the help of project leaders involved in the project, both from the technology team and the operations team.
If the requirement is a design change or if a new tool development that needs significant effort from the technology team then he/she will discuss with the management of the company on the feasibility, cost effectiveness, resource allocation plan and acquire the approval of the management before proceeding further.
Once approved, he/she will draw the resource allocation plan after the identifying the resources for this project along with the PL of the Technology team.
He/She will also monitor the progress of the change implementation from the analysis stage to the Issue closure stage and float the required communications to the appropriate people as and when necessary.
He/She will ensure that the Acceptance team has accepted the enhancements before releasing the final product for production.