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Facets Business AnalystMedicare or Medicate

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Job Location drjobs

Alexander City - USA

Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Job Description

Job title: Analyst(Facets)

Location: Remote

Required Qualifications

  • Bachelors degree and above
  • 2 3 Years of experience in US Healthcare and in Benefit Configuration Benefit coding / Auto Adjudication Set up processes and Quality testing.
  • Experience with medical plan benefit configuration using the Facets system /SQL and database experience with basic queries.
  • Excellent US Healthcare knowledge in Benefits coding and validation
  • Excellent communication skills and experience in working with US clients directly.
  • Ability to complete the assigned tasks on time Understand the SLAs and ensure they are met.
  • Ability to coordinate with the Leads and Onshore in work prioritization and able to track and report selfwork.
  • Ability to work independently with onshore/offshore team to deliver the assigned projects.
  • Good Analytical and problemsolving skills 1 2 Years of experience in US Healthcare and in Benefit Configuration Benefit coding / Auto Adjudication Set up processes.
  • Good Analytical and problemsolving skills 3 4year overall experience in US healthcare plans handling BIM and facets configuration process.
  • Conduct training sessions for new hires and existing team members covering benefit coding principles Facets configuration guidelines.
  • Provide handson training sessions on the utilization of the Facets system for benefit configuration.
  • Conduct training needs assessments to identify gaps in knowledge and skills to ensure training throughput.
  • Familiarity with healthcare policies regulations and compliance requirements such as HIPAA and ACA.
  • Proficiency in different types of health insurance plans including HMOs PPOs and governmentsponsored programs like Medicare and Medicaid.
  • Proficient in MS office including outlook word excel and power point.

Employment Type

Full Time

Company Industry

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