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Integrichain logo

Trade Operations, Associate Analyst

0 - 3 years

3 - 5 Lacs

Pune

Posted:2 weeks ago| Platform: Naukri logo

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Skills Required

Outbound Claims Excel Senior Analyst Pharma Reconciliation Flex Healthcare EDI Auditing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Description Job Profile Process claims and Resubmissions: The analyst analyzes and validates all lines for assigned customer accounts. The analyst is responsible for identifying the root cause of issues with discrepancies and taking corrective action to eliminate future occurrences and reduce the outstanding wholesaler chargeback deduction balance. The analyst is responsible for researching chargeback rejections due to invalid data. The incumbent works with wholesalers and internal contract/membership groups to resolve issues for problematic chargebacks including errors associated with pricing, membership, eligibility, dating, and claims data. The analyst will also perform ad hoc reports and projects as required. Performs Daily and Monthly Reconciliations To, ensure completeness The analyst will perform a daily and monthly reconciliation of inbound chargebacks to the EDI 844 transmission. The analyst also performs a daily reconciliation of outbound chargebacks to the EDI 849 transmission. Interact with Internal and External Customers: The Chargeback analyst responds to wholesaler inquiries. as well as works with the Contracted Entities to resolve pricing or membership questions and discrepancies. The analyst also works cross-functionally as required to research and resolve issues. Qualifications Skills Set Ensures on time and high-quality delivery of assigned claims/contracts Creates/Distributes supporting documentation to clients/states/customers Crea

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Integrichain
Integrichain
www.integrichain.com

Healthcare Technology / Pharmaceuticals

West Des Moines

51-200 Employees

13 Jobs

    Key People

  • Keith H. Forster

    Chief Executive Officer

  • Steve C. Hildeman

    Chief Financial Officer

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