Business Analyst II

Adecco is currently assisting a local client in their search to fill a Business Analyst position in Metairie, LA! This is a long-term opportunity for the right person. If you would like to pursue a great opportunity and enjoy working for a fast-paced company, then Apply Now if you meet the qualifications listed below!

1. Assist the Health Plan Transportation team with resolving member transportation issues, documenting issues into the Health Plan complaints tracking log located on the HP SharePoint.
2. Responsible for assisting in prior authorization of transportation requests sent by Transportation Vendor, which can include:
Making outreach calls to members and providers, verifying information regarding need for transportation

Geo-Access reviews and processing prior authorizations for transportation requests
Work closely with MD and/or RN for cases that are more complex and require oversight of decisions

Identify members' needs, clarify information and provide solutions and/or alternatives.
Handle customer complaints respectfully and professionally

Conduct thorough research and properly respond to complaints and/or inquiries from members, providers and internal departments regarding member transportation needs related to prior authorization issues

3. Complete research as needed by the Health Plan Operations team analyzing and composing data into a usable format.
4. Claims and Clinical documentation, research, and knowledge.
5. Able to work with a SharePoint, Healthcare Management Authorization systems, Claims processing systems, and other software applications (CSP Facets, Sales Force, NDB)
6. Assigned duties as needed

Required Qualifications:
• Associates Degree
• 2+ years of Customer Service working in Physicians office, Clinical Setting, or Call
Center.
• 2+ years of professional experience in an office setting using the telephone and
computer as the primary Instruments to perform job duties.
• Must be able to create, copy, edit, save and send utilizing Word, Excel, and Outlook
• Must be able to navigate a PC
• Works independently with minimal supervision

Preferred Qualifications:
• Bachelor Degree
• Healthcare or Insurance Benefits experience
• Professional Experience in a Clerical or Administrative role
• Knowledge or experience with Medical Terminology/Coding
• Medicare or Medicaid Experience
• Experience with Clinical Database

HOW TO APPLY: Candidates interested in this Opportunity should apply IMMEDIATELY. Please click on the “Apply Now” button to fill out your application.

IMPORTANT INFORMATION: This position is being recruited for by Adecco’s Service Delivery Center, not your local Adecco Branch Office. To be considered for this position, you must use the “apply now” button to submit your resume. If you have questions about the position, you may contact the recruiter recruiting for this position listed above, however your resume must be received via the “apply now” button included within to be considered.

The Adecco Group is a global leader in HR services. Our group connects over 700,000 associates with our business clients each day through our 6,600 offices in over 70 countries and territories around the world. We offer employment opportunities at any stage in your professional career. Contact us today to discuss available contract and direct hire positions. Adecco Group offers benefits including Holiday, 401(k), Insurance Benefit Plans and Service/Anniversary Bonus opportunities.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

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Reference number US_EN_99_022862_600134