Sr. HealthEdge Specialist || Remote at Remote, Remote, USA |
Email: [email protected] |
Hello, Hope you are doing well My name is harsh tiwari and I'm a Technical Recruiter at Technocraft solutions. We provide IT Consulting Services to our customers immediate and long-term resource needs. I am contacting you either because your resume has been posted to one of the internet job sites to which we subscribe or you had previously submitted your resume to Technocraft solutions. NOTE: Client is looking a HRP Specialist who has strong experience in Testing Side. Role: Sr. Health Edge Specialist Remote Mandatory Skills Description: 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. Thanks & Regards Harsh Tiwari. Technical Recruiter | E: [email protected] LinkedIn: https://www.linkedin.com/in/harsh-tiwari-57a130192/ www.technocraftsol.com | Technocraft Solutions LLC 3974 Brown Park Drive, Suite F Hilliard, Ohio-43026 Keywords: access management information technology microsoft |
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Thu Nov 30 01:39:00 UTC 2023 |