Claims Business Process Consultant

Job Summary

A company in the healthcare industry is seeking a Claims Business Process Consultant.

Position Responsibilities

• Create and execute standard test protocols to ensure configuration and claims payment accuracy
• Design, execute, and analyze reports to verify the accuracy of system configuration and claims payment against business requirements and claim payment trends
• Ensure that system configuration adheres to Medicare, Medicaid, and other federal/state regulations

Required Qualifications

• 2+ years of Claims, Configuration, or Testing experience
• 2+ years of Medicaid and/or Medicare experience
• 2+ years of Facets experience
• High School Diploma/GED or equivalent work experience
• Experience with Microsoft Excel