Analyst I, Specialty Compliance and Ethics - Medical Billing

Position Summary... What you'll do... Analyst I, Billing Manages bill review processes by researching and interpreting workers’ compensation state fee schedules, laws and regulations, and applying them to current processes or developing new procedures; ensuring fee schedule changes are applied and communicated to vendor processors to ensure bill review compliance; testing and approving new or updating system applications; ensuring bill review software is functional to communicate software needs or programming issues to the bill review vendor; developing alternate workflows to accommodate system deficiencies; submitting rule requests and testing to ensure rule accuracy; and using reports and logs to identify negative trends and creating action plans to mitigate disputes and penalties and to identify positive trends to maximize benefits. Oversees vendor processors and vendor payments by communicating expectations to vendors and ensuring vendors comply with contractual obligations; verifying vendor invoices; developing and reviewing reports to track vendor performance; providing guidance regarding policies and best practices and supporting vendors with bill decisions and guidelines; and participating in vendor selection and on boarding. Ensures medical EDI reporting compliance by researching data element requirements; validating system fields are correct; communicates with stakeholders; monitors and corrects rejection reasons. Complies with state-mandated E-billing requirements. Provides and supports the implementation of business solutions by building relationships and partnerships with key stakeholders; identifying business needs; determining and carrying out necessary processes and practices; monitoring progress and results; recognizing and capitalizing on improvement opportunities; and adapting to competing demands, organizational changes, and new responsibilities. Models compliance with company policies and procedures and supports company standards of ethics and integrity by incorporating these into the development and implementation of business plans; using the Open Door Policy; and demonstrating and assisting others with how to apply these in executing business processes and practices. Live our Values Culture Champion • Models the Walmart values to foster our culture; holds oneself accountable; and supports Walmart’s commitment to communities, social justice, corporate social responsibility, and sustainability; maintains and promotes the highest standards of integrity, ethics and compliance. Servant Leadership • Is consistently humble, self-aware, honest, and transparent. Embrace Change Curiosity & Courage • Demonstrates curiosity and a growth mindset; supports innovation and intelligent risk-taking; and exhibits resilience in the face of setbacks. Digital Transformation & Change • Implements and supports continuous improvements and willingly embraces new digital tools and ways of working. Deliver for the Customer Customer Focus • Delivers results while putting the customer first and applying an omnimerchant mindset and the EDLP and EDLC business models to all plans. Strategic Thinking • Adopts a broad perspective that considers data, analytics, customer insights, and different parts of the business when making plans. Focus on our Associates Diversity, Equity & Inclusion • Embraces diversity in all its forms and actively supports diversity of ideas and perspectives, as well as diversity goal programs. Collaboration & Influence • Builds strong and trusting relationships with team members and business partners; works collaboratively to achieve objectives; communicates with impact to a range of audiences; and demonstrates energy and positivity for own work. Talent Management • Contributes to an environment allowing everyone to bring their best selves to work, demonstrates engagement and commitment to the team, and recognizes others’ contributions and accomplishments. Minimum Qualifications... Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications. Minimum Qualifications: Bachelor's degree in Business, Human Resources, or related field OR 2 years’ experience in compliance, ethics, legal, project management, or related area. Preferred Qualifications... Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications. Customer Research, Data Analysis and Insights Masters: Business Administration Project Management - Project Management Professional - Certification Primary Location... 608 SW 8TH ST, BENTONVILLE, AR 72712-6207, United States of America