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Remote Medical Claims Configuration Analyst

Company: VirtualVocations
Location: Rockville
Posted on: June 18, 2022

Job Description:

A healthcare company is searching for a person to fill their position for a Remote Medical Claims Configuration Analyst.

Core Responsibilities of this position include:
Assisting in the on-going evaluation of configuration for new and existing claims business rules
Analyzing explanation of coverage documents to assist with determining best approach
Assisting in the setup of code sets and defining pre-authorization guidelines
Qualifications Include:

High school diploma or GED from an accredited institution
Previous managed care/health plan experience in an operations department
Experience delivering claims configuration processes within an Operations or Product Management environment
Experience gathering and communicating complex claims configuration requirements
Experience gathering and converting data into written narratives
Hands-on experience with rules based table driven claims and eligibility administration systems

Keywords: VirtualVocations, Rockville , Remote Medical Claims Configuration Analyst, Professions , Rockville, Maryland

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