Analyst - Third Party Billing

Designs and implements strategies to establish and maintain the highest level of quality for Third Party Billing data.

Essential Functions

• Designs strategic solutions and implements processes to perform data cleaning on Third Party Billing transactional tables.
• Develops strategic solutions and implements processes to reduce data and billing errors.
• Designs and implements a uniform Medicaid claims re-billing process to include assessment of denied and paid claims, correction or archival of claims, and resubmission of claims.
• Maintains TPB Medical Assistance databases.
• Maintains SAS servers and services as requested.
• Participates in Data Sharing processes with Maryland State Department of Education, Maryland Department of Human Resources, and Maryland Department of Health.
• Understands and complies with HIPAA regulations.
• Maintains and enhances existing applications and reports using appropriate tools and technologies including SAS, SQL, and Microsoft Office Products.
• Identifies application or system issues improving availability and performance.
• Responsible for program design, coding, testing, debugging and documentation.
• Understands, respects, and nurtures the relationships between agencies with which TPB interacts: Maryland Department of Health, Maryland State Department of Education, Maryland Department of Human Resources, Baltimore City Health Department, Office of Legislative Audits and Office of the Inspector General.
• Utilizes resources appropriately to complete work in the most efficient manner; proactively communicates the status of work; participates and contributes fully as a team member; and exercises sound judgment and decision-making skills to resolve sensitive matters.
• Maintains confidential and sensitive information.
• Performs and promotes all activities in compliance with equal employment and non-discrimination policies; follows federal laws, state laws, school board policies, administrative regulations, and professional standards.

Maximum Salary 129933.00

Minimum Salary 85709.00

Desired Qualifications

• Bachelor's degree in Information Systems or closely related field. Degrees must be from an accredited college or institution.
• Three years' experience with SAS BI Enterprise software preferred.
• Six years' experience with SQL and Database Systems
• Strong communication skills.
• Unless expressly stated otherwise with respect to the qualifications indicated in the position description, City Schools reserves the right to consider other combinations of applicable education, training, and experience which provide the knowledge, abilities, and skills necessary to perform effectively in the position.
• Ability to interact with diverse constituencies and convey complicated information with tact and diplomacy.
• Proficient skill in the use of technical computer applications, including electronic databases, case management systems, and Microsoft Office, including Excel and Power Point.
• Ability to exercise independent judgment.
• Skill in research, presenting, and explaining policies and procedures, assembling data, preparing complex reports, and formulating and presenting recommendations.
• Ability to work collaboratively.
• Ability to develop and maintain strong working relationships with school system employees and managers at all levels, as well as government agencies and community stakeholders.
• Ability to multi-task, prioritize changing assignments, and organize busy workload, meet deadlines, and work well under pressure, while exercising excellent attention to detail.

Full time or Part time Full time

Additional Details

Qualified candidates for the above position must submit the following:

• Completed online application
• Resume that clearly demonstrates the above minimum qualifications. It is important that you include all experiences and education related to the position to which you are applying.
• Upload copies of all transcripts -undergraduate, graduate and all MSDE Certifications
• Must provide three (3) professional references to include: name, title, business address, e-mail address and phone number
• All documentation/certification necessary (scanned copies accepted) to substantiate minimum qualifications; must be uploaded into application
• All documentation must be scanned and uploaded to application

Benefits -- This position is eligible for benefits. To review the available options please see the information relevant to the union for this position by viewing the following link: http://www.baltimorecityschools.org

Baltimore City Public Schools ("City Schools") does not discriminate in its employment, programs, and activities based on race, ethnicity, color, ancestry, national origin, nationality, religion, sex, sexual orientation, gender, gender identity, gender expression, marital status, pregnancy or parenting status, family structure, ability (cognitive, social/emotional, and physical), veteran status, genetic information, age, immigration or citizenship status, socioeconomic status, language, or any other legally or constitutionally protected attributes or affiliations. Discrimination undermines our community's long-standing efforts to create, foster, and promote equity and inclusion for all. Some examples of discrimination include acts of hate, violence, harassment, bullying, or retaliation. For more information, see Baltimore City Board of School Commissioners Policies JBA (Nondiscrimination - Students), JBB (Sex-Based Discrimination - Students), JICK (Bullying, Harassment, or Intimidation of Students), ACA (Nondiscrimination - Employees and Third Parties), ACB (Sexual Harassment - Employees and Third Parties), ACD (ADA Reasonable Accommodations), and ADA (Equity), and the accompanying City Schools Administrative Regulations. City Schools also provides equal access to the Boy and Girl Scouts and other designated youth groups. Link to Full Nondiscrimination Notice.

This position is affiliated with the Paraprofessional and School-Related Personnel (PSRP) bargaining union.

This position is affiliated with the City Retirement System.

In accordance with Maryland law, City School is required to share the position salary ranges in its entirety. Please note, this is not the hiring range. The hiring range for this position is ($85,709 - $102,003).