Lead / Manager - Benefit Configuration

3 - 7 years

0 Lacs

Posted:4 days ago| Platform: Shine logo

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Job Type

Full Time

Job Description

As an experienced professional in US Healthcare, you will be responsible for handling claims and configuration tasks with precision. Your role will involve enrolling, designing, and implementing customer-specific solutions during coding. Additionally, you will play a vital part in reinstating medical codes and managing the addition and deletion of codes on a regular basis. Your expertise in identifying gaps between external expectations and system limitations will be crucial in suggesting configuration improvements. Moreover, writing SQL queries and conducting data validation to identify test cases will also be part of your responsibilities. Key Responsibilities: - Utilize expertise in US Healthcare to effectively handle claims and configuration tasks - Enroll, design, and implement customer-specific solutions accurately during coding - Reinstate medical codes and add or delete codes as required on a frequent basis - Identify gaps between external expectations and system limitations and propose configuration improvements - Write SQL queries and conduct data validation to identify test cases Qualifications Required: - Previous experience in US Healthcare with a focus on claims and configuration - Proficiency in writing SQL queries and performing data validation - Strong analytical skills to identify gaps and propose improvements - Bachelor's degree in a relevant field As an experienced professional in US Healthcare, you will be responsible for handling claims and configuration tasks with precision. Your role will involve enrolling, designing, and implementing customer-specific solutions during coding. Additionally, you will play a vital part in reinstating medical codes and managing the addition and deletion of codes on a regular basis. Your expertise in identifying gaps between external expectations and system limitations will be crucial in suggesting configuration improvements. Moreover, writing SQL queries and conducting data validation to identify test cases will also be part of your responsibilities. Key Responsibilities: - Utilize expertise in US Healthcare to effectively handle claims and configuration tasks - Enroll, design, and implement customer-specific solutions accurately during coding - Reinstate medical codes and add or delete codes as required on a frequent basis - Identify gaps between external expectations and system limitations and propose configuration improvements - Write SQL queries and conduct data validation to identify test cases Qualifications Required: - Previous experience in US Healthcare with a focus on claims and configuration - Proficiency in writing SQL queries and performing data validation - Strong analytical skills to identify gaps and propose improvements - Bachelor's degree in a relevant field

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