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Business Analyst or Claims Analyst

Remote: 
Full Remote
Experience: 
Mid-level (2-5 years)
Work from: 
Oregon (USA)

Offer summary

Qualifications:

3-5 years' experience in healthcare claims configuration, Amisys system experience.

Key responsabilities:

  • Interpret provider contracts
  • Set up claims pricing
  • Conduct UAT testing
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Job description

  • Amisys system experience required
  • 3-5 years' experience of healthcare claims configuration (MUST be able to convey billing, coding, and claims experience during interview)
  • Provider Contract review and interpretation
  • Building Claims pricing requirements based off of provider contracts
  • UAT experience testing provider pricing arrangements using claims scenario-based testing to prove outcomes

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

Contract ReviewMedical Insurance ClaimsClaims Investigations
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