Job Title: Business Systems Analyst 3
Duration: 06+ Months (Possible Extension or Conversion)
Work Location: King of Prussia Pennsylvania USA 19406
The Payment Accuracy Advisor (PAA) is responsible for understanding their assigned clients claim systems and payment policies so they may document requirements for implementing services and rule engine components either during the initial and/or subsequent phase of implementation. They are also responsible for supporting their clients during maintenance periods which may require researching issues, analyzing software behavior and remediating defects.
The Payment Accuracy Advisor must be an active consultative client facing participant within the assigned team structure to ensure quality client deliveries within targeted timeframes based upon work effort and allocation.
Minimum Job Qualifications:
Bachelor's Degree in computer science, healthcare related field, or equivalent business experience
II. Business Experience
3+years of experience in health care combining first hand payor and consulting experience
Medical claims experience within payor environment ideal.
SDLC exposure needed.
III. Critical Skills
o Customer's Business
Understands payor environments and claims management
High level understanding of different customer segments (national, strategic and/or specialized business)
High level understanding of claim architecture, infrastructure, and multiple platforms
Discusses customer issues (pains and trends) confidently with customers
Understands medical terminology, healthcare industry terminology and medical coding terminology
Must be able to articulate the clinical value of products and services provided to clients
o Software Tools
High-level proficiency in the following software:
Thanks & Regards
Primus Software Corporation
Direct| Fax: 770-234-4163
www.primussoft.com | 3061 Peachtree Industrial Blvd, Suite 110 Duluth, GA - 30097
Let's connect, LinkedIn: https://in.linkedin.com/pub/parul-chhabra/b1/42b/527