| Senior HealthEdge Specialist at Remote, Remote, USA |
| Email: [email protected] |
| From: Nitin Tehriya, Tek Inspirations LLC [email protected] Reply to: [email protected] Role : Senior HealthEdge Specialist Location : Remote 100% MOI : Skype Duration : 12 months Skills Must have 4+ years of HealthEdge/HRP CTR (Claim Test Runner) experience. Extensive healthcare operations or Healthcare claims processing experience. Proficiency in Healthcare and Health Plan terminology, and medical coding (e.g., CPT, HCPCS, ICD9 & ICD10 CDT, Revenue, DRG, and other relevant medical and industry-standard codes). Deep understanding of benefit plans, benefits association (package, coverage, component, and detail), benefit coding (Benefit keywords and linkage associations), Claims to process, and workflows for multiple Lines of Business including FEP, and BCBS Association mandates. Experience in SQL and other relevant tools and technology used for Benefit configuration updates. Working knowledge of MS Azure DevOps. Education - Bachelor's degree in Business Administration, Management Information Systems, Computer Science, or equivalent work experience. In lieu of a degree, a minimum of 3-4 years of proven configuration experience, preferably on Facets, HealthRules, Diamond, Amisys Advance, or a similar payer system. Nice to have Experience in Agile methodology and framework Good communication skills Keywords: microsoft |
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| Mon Nov 27 23:26:00 UTC 2023 |