Healthcare NSA Analyst
Contract W2
Contract Corp To Corp
12 Months
No Travel Required
Remote
$60 - $65/hr
Goldenpick Technologies LLC
Fitment
Dice Job Match Score™
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Job Details
Skills
- EDI
- Claims Testing
- Blue Card
Summary
Position Title - Healthcare NSA Analyst (Claims Testing)
Location - Remote
Mandatory Skills:
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Healthcare Claims Processing
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Health Rules Payer (HRP)
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EDI 837
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Blue Card
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Healthcare Domain Knowledge
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Claims Testing
Mandatory Skills Description:
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4+ years of experience in healthcare claims processing, healthcare operations, or claims testing.
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Strong hands-on knowledge of local claims processing within HealthRules Payer (HRP).
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Hands-on experience working with and validating EDI 837 files.
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Experience with Blue Card claims processing and/or strong understanding of HRP-to-TPA workflows.
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Strong understanding of healthcare claims lifecycle, adjudication, benefits, pricing, and payment workflows.
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Good knowledge of healthcare and health-plan terminology.
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Understanding of relevant medical and industry-standard codes, including CPT, HCPCS, ICD-9/ICD-10, CDT, Revenue, and DRG codes.
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Experience creating and executing functional, integration, and end-to-end claims test scenarios.
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Ability to analyze claims-processing results, identify defects and configuration issues, and work with technical and business teams through resolution.
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Experience working with business requirements and translating them into comprehensive test scenarios.
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Working knowledge of Azure DevOps or similar test/defect management tools.
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Strong communication skills and ability to collaborate with business and technical stakeholders.
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Experience with Association requirements and Blue Card mandates.
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Experience with benefits and package pricing configuration in HealthRules.
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SQL knowledge for data validation and claims analysis.
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Experience troubleshooting production issues related to claims or benefit configurations.
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Previous experience supporting healthcare system migrations, integrations, or major HRP enhancements.
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Experience working with Third-Party Administrator (TPA) integrations and workflows.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
- Dice Id: 91164342
- Position Id: 961-36890-1789388846
- Posted 8 hours ago
Company Info
About Goldenpick Technologies LLC
GoldenPick Technologies is a cutting-edge career search and leadership hiring firm that leverages innovative recruitment solutions to deliver exceptional talent. With over 20 years of industry expertise, we provide our clients with a high-caliber resource pool through our intelligent search and selection process. Our robust internal processes ensure precise candidate matching for current and future requirements. We prioritize client satisfaction, delivering prompt solutions with diligence, continuous feedback, and personal accountability.
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