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Analyst ( Medical Claim) - Detroit, MI (No h1b_ at Detroit, Michigan, USA
Email: [email protected]
From:

GARGI,

Wise Equation solutions Inc.

[email protected]

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position with our client BCBSM- Please send your consultants word document resume.

C
lient is looking onsite LOCAL consultants or RELOCATION is ok for this position.

Systems Analyst II - hybrid

Detroit, MI

12 months

Top 3 Required Skills/Experience

Strong medical and facility claims background, understanding of the billing process, ICD codes, procedure codes, diagnosis codes.

Strong knowledge of medical claims benefits processing.

Detailed knowledge of medical, dental, vision, and hearing benefits.

The win would be to find candidates with
NASCO Claims Processing experience,

but if not, they need to have Medical and or Facility Claims Testing and Validation experience

BCBSM will train them on the NASCO Claims Processing System.

Engagement Description

This role will be responsible for implementing benefit changes for multiple BCBSM customers, working in the claims benefits system to identify and document requirements for system changes, claims testing and validation of system enhancements, and implementation of changes.

Required Skills/Experience

Excellent analytical and organizational skills including the ability to manage multiple concurrent assignments.

Ability to write clear and concise documentation that can be understood by others who may not have direct knowledge of the subject.

Microsoft Office skills (Word, Excel, Access).

Great interpersonal skills, collaboration skills, and a team spirit attitude.

Preferred Skills/Experience Optional but preferred skills/experience include:

NASCO 3270 Mainframe experience.

Experience with membership/eligibility.

BFM/BFAST benefit configuration experience analysis, testing, configuration, documentation and all quality processes.

Working knowledge of SharePoint.

Education/Certifications Include:

Bachelors Degree in related field preferred.

Medical Billing/Coding preferred.

Keywords: cprogramm Michigan
Analyst ( Medical Claim) - Detroit, MI (No h1b_
[email protected]
[email protected]
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Thu Aug 08 19:38:00 UTC 2024

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