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Claims Implementation Analyst
A company is looking for a Claims Implementation Analyst to assist in analyzing, implementing, and reporting claims configuration business rules. Key Responsibilities Analyze contract terms and prepare fee schedules for claims processing Research updates to payment methodologies and ensure successful implementations through testing and verification Develop and maintain reporting tools and assist in auditing claims business rules Required Qualifications Experience in managed care or healthcare-related claim analysis Proficiency in medical terminology and medical coding (CPT4, ICD10, HCPCS) Experience with Microsoft Excel, Access, and report writing tools High School Diploma or GED from an accredited institution Experience in analyzing data and managing projects
A company is looking for a Claims Implementation Analyst to assist in analyzing, implementing, and reporting claims configuration business rules.
Key Responsibilities
Analyze contract terms and prepare fee schedules for claims processing
Research updates to payment methodologies and ensure successful implementations through testing and verification
Develop and maintain reporting tools and assist in auditing claims business rules
Required Qualifications
Experience in managed care or healthcare-related claim analysis
Proficiency in medical terminology and medical coding (CPT4, ICD10, HCPCS)
Experience with Microsoft Excel, Access, and report writing tools
High School Diploma or GED from an accredited institution
Experience in analyzing data and managing projects