Opportunity Description
Benefits Analyst
Position Overview
The Benefits Analyst is responsible for supporting the daily operations, configuration, and maintenance of the medical group’s claims processing systems. This role ensures the accuracy of member benefit setups, eligibility data, claims adjudication, and overall financial integrity. The analyst applies strong analytical and technical skills to enhance system automation, improve data accuracy, and support efficient claims processing.
Key Responsibilities
+ Maintain and support claims processing systems, including configuration and ongoing system updates
+ Ensure accurate setup and maintenance of member benefits, eligibility, and provider assignments
+ Support claims adjudication processes to ensure timely and accurate reimbursement outcomes
+ Interpret managed care contracts and translate requirements into system configurations and fee schedules
+ Monitor and ensure data integrity across claims, bene...
Position Overview
The Benefits Analyst is responsible for supporting the daily operations, configuration, and maintenance of the medical group’s claims processing systems. This role ensures the accuracy of member benefit setups, eligibility data, claims adjudication, and overall financial integrity. The analyst applies strong analytical and technical skills to enhance system automation, improve data accuracy, and support efficient claims processing.
Key Responsibilities
+ Maintain and support claims processing systems, including configuration and ongoing system updates
+ Ensure accurate setup and maintenance of member benefits, eligibility, and provider assignments
+ Support claims adjudication processes to ensure timely and accurate reimbursement outcomes
+ Interpret managed care contracts and translate requirements into system configurations and fee schedules
+ Monitor and ensure data integrity across claims, bene...
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