| PST Local :: Healthcare Business Analyst with Claims exp. at Remote, Remote, USA |
| Email: [email protected] |
| From: Anamika, RCI [email protected] Reply to: [email protected] Role: Healthcare Business Analyst Location: 100% Remote [Need local to PST] Duration: 6 months Visa - USC Rate: $55/hr C2C Must have experience with Healthcare/ FACETS/ STTM (source to target mappings) with CLAIMS EXPERIENCE. West Coast Only Experience working with health insurance payers or providers Responsibilities : C ollaborate with cross-functional teams to analyze business requirements related to health care claims processing. Conduct detailed analysis of claims data, identifying trends, patterns, and opportunities for process improvement. Develop and maintain documentation for claims processing workflows, business rules, and data mappings. Participate in system testing, ensuring accurate implementation of business rules and data transformations. Work closely with stakeholders to define source-to-target mappings for data integration projects. Provide expertise in Facets (or other relevant claims management systems) to optimize claims processing efficiency. Support end-users by troubleshooting issues related to claims data, system configurations, and data mappings . Qualifications : Bachelors degree in a related field (Healthcare Administration, Business, or Information Systems preferred). Minimum of 5 years of experience as a Business Analyst in the healthcare industry. Proficiency in Facets (or similar claims management software). Strong understanding of claims processing workflows, including pre-authorization, adjudication, and payment. Experience with source-to-target mapping and data integration projects. Excellent analytical skills and attention to detail. Effective communication and collaboration abilities. Preferred Skills : Familiarity with HIPAA regulations and compliance. Keywords: cprogramm PST Local :: Healthcare Business Analyst with Claims exp. [email protected] |
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| Fri Jun 07 21:26:00 UTC 2024 |