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 principlesFacetsconfiguration 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.
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