Job Details

ID #43028363
State Pennsylvania
City Jessup
Job type Contract
Salary USD Depends on Experience Depends on Experience
Source Softpath System, LLC.
Showed 2022-06-15
Date 2022-06-02
Deadline 2022-08-01
Category Et cetera
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Facets Consultant

Pennsylvania, Jessup, 18434 Jessup USA

Vacancy expired!

Hi,We have an immediate opportunity with one of our clients. Please find the job description below, and if you are interested, please forward your resume to or you can reach me on my number

for any further information.

Title: Facets Consultant

Location: Jessup, PA

Type: Contract

Note: Remote until covid relaxes

Roles & Responsibilities:

Must Have's:

Facets- Configuration

Facets-Membership

SQL Server

Claims

Skill Set /Experience Requirements:

  • 3+ years of Facets Claims experience
  • 3+ years of Benefits Configuration experience
  • Good level of knowledge in benefits and products
  • Good Understanding for Healthcare domain
  • Benefits 360 experience is a plus.

Job description:

  • Ability to read Benefits Grids, PBP documentation to understand Configuration Requirements.
  • Experienced in participate in Design sessions with Configuration SMEs and Architects.
  • Ability to load and maintain Group Class Plans, Products, Benefits, Limits, Deductibles, Service Payments, Service definitions Facets claims processing system
  • Experience in Auth Configuration, Procedure Code Sets, and ICD-10 Diagnosis Code Sets for configuration.
  • Experience in Supplemental Configuration, Premium Rates is needed
  • Previous experience in Claims testing is required to validate Benefit configuration accuracy.
  • Collaborate with benefits operations and technology teams to develop configuration solutions.
  • Good Analytical skills on Databases (Oracle & SQL Server) for loading large code sets.
  • Research and resolve reported issues, related to Benefits related issues.
  • Knowledge of billing practices and claims coding is an add on.
Thanks & Regards,Burra Teja | Recruiter | Email: Direct |

Vacancy expired!

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