What are the responsibilities and job description for the Technical Business Analyst with Medicaid & Claims Module experience - Remote position at The Dignify Solutions, LLC?
10-12 years of experience as a Business Analyst with Minimum of 8 years of experience in health care experience especially in MMIS domain.
In depth understanding of Claims and Claims lifecycle:
Claim submission - Paper and EDI X12
Adjudication
Payment Cycle (Finance)
Reporting
Encounters and Capitation
EDI X12 formats like 837P/I/D
X12 formats 835, 834, 270/271, 276/277
Familiarity with systems like CMdS, GHS, Facets and etc
Ability to validate Test scenarios and test plans, test data.
SQL: To validate data in backend tables (e.g., claim status, payment details, find members/providers, Benefit Plan).
EDI Tools: Validating X12 files.
Hourly Wage Estimation for Technical Business Analyst with Medicaid & Claims Module experience - Remote in Jersey, NJ
$52.00 to $63.00
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