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Urgent requirement for COSMOS Analyst at (100% Remote) at Cosmos, Minnesota, USA
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From:

Praveen Kumar,

Magicforce

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Job Title: COSMOS Analyst

Location:

(100% Remote)

Duration: 1+ Year

Job Description:

Understanding of US Healthcare Payor work-streams including Claims, Network and Pricing, Provider Management, Medical Management, Premium Billing and Payment, Member Enrollments, Benefits Management,

Well versed with various lines of business specifically Medicare.

Healthcare industry standards and codes usage - ICD10, HCPCS, CPT, Revenue Codes, DRG, APC and NDC.

Experience with COSMOS/UNET/NICE,

COSMOS Configuration: Set up of Benefit Plan, Network and Supplier Contracts (Pricing), Providers, Enrollment, Premium, and Account, sub-accounts, etc.  Review, interpret and/or verify contract language, information, and intent to load information into systems properly Ensure contract templates can be administered across operations (pricing config, claims, etc.)

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Urgent requirement for COSMOS Analyst at (100% Remote)
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Thu Aug 01 18:50:00 UTC 2024

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