Job Summary
A healthcare insurance provider is in need of a Remote Testing and Quality Control Analyst
Core Responsibilities of this position include:
- Reviewing and understanding client specifications
- Analyzing and interpreting test claims for processing and adjudication results
- Conducing automated claims testing through RxPlan
Position Requirements Include:
- Ability to build and run standard and custom batch claim files for clients
- Ability to compare analysis between PharmScreens and RxPlan
- Ability to be the point of contact for other departments troubleshooting
- Ability to report findings and follow through with resolution