Remote Medical Claims Configuration Analyst

Location: Alabama, Arizona, Connecticut, Florida, Georgia, Indiana, Iowa, Kansas, Louisiana, Maine, Maryland, Massachusetts, Minnesota, Mississippi, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wyoming
Compensation: To Be Discussed
Staff Reviewed: Wed, Jun 08, 2022
This job expires in: 5 days
Job Summary

A healthcare company is searching for a person to fill their position for a Remote Medical Claims Configuration Analyst.

Core Responsibilities of this position include:

  • Assisting in the on-going evaluation of configuration for new and existing claims business rules
  • Analyzing explanation of coverage documents to assist with determining best approach
  • Assisting in the setup of code sets and defining pre-authorization guidelines

Qualifications Include:

  • High school diploma or GED from an accredited institution
  • Previous managed care/health plan experience in an operations department
  • Experience delivering claims configuration processes within an Operations or Product Management environment
  • Experience gathering and communicating complex claims configuration requirements
  • Experience gathering and converting data into written narratives
  • Hands-on experience with rules based table driven claims and eligibility administration systems
COMPLETE JOB DESCRIPTION

The job description is available to subscribers. Subscribe today to get the full benefits of a premium membership with Virtual Vocations. We offer the largest remote database online...

BECOME A PREMIUM MEMBER TO
UNLOCK FULL JOB DETAILS & APPLY