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Benefits Configuration Analyst at Remote, Remote, USA
Email: [email protected]
From:

Priyanka,

Triwave Solutions Inc

[email protected]

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Job Description

Facets Benefits Configuration Analyst

Remote

C2H role

Primary Responsibilities:

Understand how various components in Facets fit together so claims pay correctly
Utilize knowledge of benefit plans and documents to gather details to create/update applicable product configuration elements
Collaborate with stakeholders to gather, assess, interpret and document customer needs and requirements
Identify and analyze issues to provide solutions
Design, configure and build various product / benefit components in Facets
Research claims issues to determine configuration gaps, update configuration as applicable
Audit configuration against benefit plan requirements / EOC, etc, verify configuration following source documentation
Work with minimal guidance and supervision
Serve as a resource to other team members
Consistently meet established productivity, schedule adherence, and quality standards while maintaining expected attendance.

Requirements:
2+ years experience working with Medicare benefit configuration, claims issue resolution or other areas of Facets configuration
2+ years experience working with Facets database tables and configuration
Proficiency in Microsoft Word, Excel, and Outlook.
Computer proficiency including, but not limited to, ability to learn new computer system applications.
Ability to multi-task.
Excellent oral and written communication skills.
Ability to work in a fast-paced, dynamic, rapidly changing environment.
Strong aptitude for working in a production driven environment.
Must be a self-starter and able to work independently.
Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance.

Preferred qualifications:
2+ years health insurer experience with medical plan case installation or benefit plan building
2+ years health insurer experience handling provider billing/co-payments/co-insurance
2+ years health insurer experience resolving provider claim issues
Experience with Medicare medical benefit plans
Facets configuration experience

Keywords: Colorado
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Thu Nov 02 00:45:00 UTC 2023

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