Hiring For Benefit Configuration (WFH)

Dear Applicants Hiring for Benefit Configuration - WFH Location: Pan India Position: TL & SDM Shift: US shift, WFH Notice: Up to 1month Qualification: Graduate with Science, Arts or commerce background Ctc - TL: 10lpa, SDM: 18.5lpa Skills : 5 to 11 years US Healthcare skills in claims and Benefit configuration with SQL / QNXT tool expr required. Good Communication skills (Oral & Written). Addressing and resolving escalated issues in the appropriate manner within the appropriate timeframe and escalates as appropriate. Energy and Drive. Ability to build and expand relationships. Diligence & Persistence Willingness to travel. RESPONSIBILITIES : Performing Member enrollment, design, coding on Customer specific solutions during the client product implementation stage and ongoing support and maintenance of quality custom solutions. Coding - Assign codes to diagnosis and procedures performed during implementation. Coding the procedure codes in Code Grouper and mapping them to service groups. Reinstatement of medical codes (CPT, HCPCs & Revenue codes) Addition and deletion of codes on frequent basis Sharing the OPTUM codes (Customer Exchange) updates with BRC Identifying contracts and Benefits to map the new codes based on the services. Writing SQL queries to validate the data and pulling test cases from the database Running SQL queries and converting the output into a text files to move the data from BRC Configuration environment to Client environments Creating the Change Controls to setup the Migration process through which data moves to Production region Error Root cause Analysis and Counseling Attending Onshore and client calls Coordinating with management and different teams within membership to clean the inventory and to support each other during need hours. Should contribute to Project Test Planning, as per direction(s) from Team Lead/Group Lead Providing prompt resolution to the team if any query arises. To appoint a backup for any resource on PTO. Making sure that the deliverables and Quality of work is maintained. Interested Candidates contact HR Pallavi @9167757169 / pallavi@careerguideline.com