Data Analyst- REMOTE Job at PSRTEK, New York, NY

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  • PSRTEK
  • New York, NY

Job Description

Job Description

Job Description

Role: Configuration Analyst

Remote

Responsibilities: -

  • Understanding of US Healthcare Payor work-streams including Claims, Network and Pricing, Provider Management, Medical Management, Premium Billing and Payment, Member Enrollments, Benefits Management,
  • Well-versed with various lines of business specifically Medicare
  • ICD10, HCPCS, CPT, Revenue Codes, DRG, APC and NDC
  • COSMOS Configuration: Set up of Benefit Plan, Network and Supplier Contracts (Pricing), Providers, Enrollment, Premium, and Account, sub-accounts, etc.
  • Review, interpret and/or verify contract language, information, and intent to load information into systems properly Ensure contract templates can be administered across operations (pricing config, claims, etc.)
  • Work with provider contracting staff when new/modified reimbursement contracts are needed

Job Tags

Contract work,

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