| Opening for healthcare Business analyst: Remote: USC OR GC: 12 YEARS at Remote, Remote, USA |
| Email: [email protected] |
| From: Sajjad, RCI [email protected] Reply to: [email protected] Only USC: GC:12 Years Position: Encounter Analyst/healthcare Business analyst Location: 100% Remote Duration: 12+ months We are looking an Encounter Analyst to support a major health plan partner in California. This position is remote. Position Description: The Encounter Analyst will support the plans Claims department to resolve issues surrounding encounter data and EDI transactions. What Youll Get to Do: Monitor and support encounter data submissions to DHCS. Identify and resolve DHCS claim rejections daily. Coordinate remediation efforts with internal partners (configuration/provider services). Identify trends and discrepancies. Partner with health plan operations on provider, member and claims data as it relates to the encounter data and processing. Youll Bring these Qualifications: Minimum of 3 years working in the QNXT Version 6.0 or higher. Recent experience working claims and encounter processing. Experience in analysis and submissions of claims data in a healthcare setting. Experience with EDI solutions and/or EDI related programs. Knowledge of all HIPAA EDI protocols, X12 transaction sets and other EDI processing standards including the 837 and 835. Excellent written and verbal communication skills. Familiarity and comfort working within the Agile methodology. Willingness to work Pacific Standard Time (PST) hours throughout the project. Claims Coding Certification (Medical) highly desired. Prior experience working with Edifecs highly desired Must have state experience . Regards _______________________________ Sajjad Resource Consultings Services Inc. Parsippany, NJ Email: [email protected] linkedin.com/in/sajjad-husain-rana-b23588195 www.rconsultinginc.com Keywords: information technology green card New Jersey Opening for healthcare Business analyst: Remote: USC OR GC: 12 YEARS [email protected] |
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| Tue Oct 08 03:31:00 UTC 2024 |