ADMINISTRATIVE ANALYST I, II, or III (FT/PT)
3 days ago
Costa Mesa
Job Description LOOKING FOR A JOB WHERE YOU CAN MAKE A DIFFERENCE? We are looking for hard-working people who want to help us protect patients, emergency safety net providers, and the nation’s healthcare delivery system. Some of our services include fighting unfair payment practices, challenging negligent utilization reviews and improper denials by health plans, and helping patients get the services they need. We have openings for people who have skills in administration/analytics, advocacy, claims compliance, provider relations/marketing, and more. ABOUT THE JOB. We are seeking a detail-oriented Administrative Analyst who is a self-starter with strong organizational and communication skills, the ability to multitask, and self-motivation. Responsibilities include, but are not limited to: • Conduct EOB review, • Sort and scan payor and client/member correspondence., • Post payments and/or adjustments, and conduct payment investigation, • Act as the point of contact between the executives and internal/external clients., • Receiving calls, taking messages, and routing correspondence., • Handle client requests and process queries appropriately., • Maintain a daily log, • Open/read/scan, route incoming mail; compose and type routine correspondence., • Create and maintain electronic spreadsheets and databases., • Invoice; make client and accounting calls to provider members., • Other general office, posting, and/or accounting duties (light bookkeeping, making bank deposits, etc.), • Run Client Status Reports, • Case Intake duties (Data Entry, Importing, Determining Plan JDX, etc.), • Special Projects, • Monitor office supplies and research advantageous deals or suppliers. Candidates must possess: • Full comprehension of office management systems and procedures., • Excellent knowledge of MS Office (Excel, Word, PowerPoint)., • Proficiency in English., • Exemplary planning and time management skills., • Up to date on advancements in office gadgets and applications., • Ability to multitask and prioritize daily workload., • High-level verbal and written communication skills., • Discretion and confidentiality., • High School degree (a college degree or experience in the healthcare-related field would be considered an advantage)., • Ability to initiate and follow through on projects; work independently with minimal supervision., • Ability to meet targets and deadlines., • Interpersonal Skills – Ability to work well with others in a professional setting. Able to work, communicate effectively, & cooperate with co-workers, supervisors, and other company departments., • Self-Motivation – Ability to seek out new assignments and assume additional duties when appropriate., • Reliable/Responsible – Consistent attendance, punctuality, follow-through, and task completion. Accepts responsibility for mistakes and is accountable for errors., • Adherence to Policy – Honest and ethical; follows safety & conduct rules, other regulations, & adheres to all company policies laid out in the employee manual & corporate compliance manuals., • Proposes new ideas & works to find better ways to accomplish tasks & meet departmental goals., • Data Entry (minimum of 40-50 wpm typing) & Ten Key by touch are also required for this position. This position can lead to a Senior Healthcare Administrative Analyst position or a Director/Manager of Administration role. PRIVACY REQUIREMENTS: Ensuring timely authorizations and prompt and fair payment of health care providers is critical to the stability of America’s health care delivery system. This position requires access to confidential protected health information (PHI). This employee is expected to protect the privacy of all PHI in accordance with ERN/TRAF’s privacy policies and procedures, as required by state and federal law (including but not limited to the HIPAA Security and Privacy Rule.) Although this position requires access to PHI to do their work, the employee will have access to only the minimum amount of PHI necessary for the business function and understands that further use or disclosure of PHI is a violation of HIPAA's Safeguards and those requirements of the Privacy Rule. DISCLAIMER: These statements are intended to describe the general nature, level, and requirements of work being performed by the people assigned to this position. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The listed duties may be changed at the discretion of the incumbent's supervisor. Company DescriptionAbout Us ERN Enterprises, Inc. provides representation and advocacy in the legislative and regulatory arenas. As a trusted name in reimbursement advocacy, we work with members to strengthen their voice to redress unfair payment practices with State and Federal regulatory agencies. Our primary goal is to ensure the faithful enforcement of all public health and safety laws that relate to timely reimbursement and prevent improper prospective, concurrent, and retrospective denials. The ERN Foundation Our culture is built on eight pillars that support every decision we make, every provider we serve, and every patient whose access to care depends on our work. These are more than values—they are commitments. They define how we lead, how we advocate, and how we honor our promise: “You fight for them. We fight for you.” 01 Compassion We never forget that every claim represents a human life. We advocate with empathy, recognizing that behind every denial is a patient, a family, and a provider counting on us to protect access to medically appropriate care. Compassion drives us to fight harder because we take every case personal. 02 Respect We treat every person with dignity, regardless of title or position. We listen before we lead, value diverse perspectives, and communicate with professionalism. Respect builds trust, with our teammates, clients, providers, regulators, and even those we challenge. 03 Responsibility We own the outcome. We take personal responsibility for every action, every deadline, every decision, and every client entrusted to us. We do not blame circumstances. We solve problems because human lives and livelihoods depend on our work. 04 Commitment We finish what we start. Excellence requires perseverance. Whether overturning denials, serving clients, or developing ourselves, we pursue every opportunity with discipline, urgency, and relentless advocacy until the mission is accomplished. 05 Transparency Truth builds trust. We communicate openly, admit mistakes quickly, share information honestly, and never hide behind excuses. Transparency creates accountability, strengthens relationships, and lets us connect through our vulnerabilities. 06 Integrity We don’t just manage cases, we manage trust. We do what is right, even when no one is watching. Our reputation is built on ethical leadership, honesty, and unwavering adherence to the law. 07 Justice We stand for what is right, not what is easy. We defend providers against improper payment practices, advocate for medically appropriate care, and challenge actions that threaten patient safety or violate the law. Justice is why we exist. 08 Collaboration Together, we accomplish what we cannot do alone. We share knowledge, break down silos, build SMEs, strengthen one another, and unite around a common mission. Great advocacy is never an individual effort—it is the product of exceptional teamwork and great systems.ERN Enterprises, Inc. provides representation and advocacy in the legislative and regulatory arenas. As a trusted name in reimbursement advocacy, we work with members to strengthen their voice to redress unfair payment practices with State and Federal regulatory agencies. Our primary goal is to ensure the faithful enforcement of all public health and safety laws that relate to timely reimbursement and prevent improper prospective, concurrent, and retrospective denials.