Coverage Detection Analyst at Waystar (Louisville, KY)

| Louisville, KY
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This role will have primary responsibility for implementing and supporting Waystar's Coverage Detection project. Primary responsibilities include writing pre-maps/post maps and rules for our clients in addition to assisting with the set up and processing of files for our Coverage Detection application. Waystar's Coverage Detection application obtains accounts typically classified as self-pay and enables our clients to determine proper write off or medical coverage. The process for transmitting and returning Coverage Detection inquiries substantively differs from those inquiries submitted via our traditional eligibility engine, requiring dedicated oversight and a significant level of hands-on activity

What you'll be doing:
• Responsible for the mapping of various file formats including Excel, CSV and text files• Responsible for the writing of pre-maps, postmaps and rules for various file formats including Excel, CSV and text files• Process test assessment requests• Serve as a dedicated operational point-of-contact of the Coverage Detection service line for our client base• Perform the day-to-day activities of processing client provided inquiries• Prepare and deliver response reports to clients• Collaborate with internal technical, payer relations and operational resources to improve service functionality, efficiency, and supportability• Prepare monthly financial information and invoicing for use by the Finance Team• Maintain monthly performance reports, metrics, key performance indicators, financial, etc. to share with management resources• Work with the Enterprise, Direct and Partner clients to ensure they are leveraging our solutions to meet their business needs• Perform other duties and /or projects as assigned by management within the area of responsibility and control• Secondary support to the client services to answer tier 2 related Coverage Detection Analyst

What we're looking for:

  • Bachelor Degree is required
  • Advanced Degree is preferred
  • Must have the ability to read, comprehend and understand various file formats

  • In-depth knowledge of batch errors and how to resolve using pre-maps
  • Possess a strong understanding of our clients needs and work within time sensitive timelines
  • Ability to think strategically and develop new processes and strategies in tandem with our client groups
  • Familiarity with Waystar's Eligibility solution
  • Attention to Detail

  • Strong verbal and communication skills.
  • Adept with a range of Microsoft Office solutions, especially Microsoft Excel

Waystar provides cloud-based technology that simplifies and unifies healthcare payments. Together, our technology, data and client support streamline workflows and improve financials for our clients, so that they can focus on their patients. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic and fun.

Waystar products have won Best in KLAS® or Category Leader every year since 2010 and earned multiple #1 rankings from Black Book™ surveys since 2012. The Waystar platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and health plans. For more information, visit or follow @Waystar on Twitter.
More Information on Waystar
Waystar operates in the Healthtech industry. The company is located in Louisville, KY, Duluth, GA, Chicago, IL, Overland Park, KS and Denver, CO. Waystar was founded in 2018. It has 967 total employees. It offers perks and benefits such as Health Insurance Benefits, 401(K), Remote Work Program. To see all 27 open jobs at Waystar, click here.
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