Remote Medical Claims Configuration Analyst
Company: VirtualVocations
Location: Rockville
Posted on: June 18, 2022
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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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