Business Systems Analyst 3 (Healthcare/Claims)

Job Description

- HTHD (High touch high demand) customer, and around the clock support

- 100% Client facing

- Fast paced environment

- Tight deadlines and strict processes to follow

- Able to assist and create solutions for the problems with minimal supervision

- Excellent communication skills

- Being able to adapt to changes and follow the directions

- Excellent customer communication skills, able to deliver difficult messages

- Able to meet with the customer and the teams daily.

- Positive attitude even in stressful situations to keep the team aligned.

- Nice to have JIRA and PSA experience

4 8 +years of experience in health care combining first-hand payor and consulting experience

2 5 years of medical claims experience within the payor environment required.

SDLC exposure needed.

• Service delivery client services based on direct BA and QA
• Provides action support to existing customers, upgrades, and implementation on the ClaimsXten side
• Have customer's give them production support
• Key customer high touch high demand day to day interactions, emails, and meetings
• Have consultant skill set work with customers
• Top key factors in the interview questions:
• Customer/Client facing experience
• Who pays for the project stakeholders, is a crucial piece for the candidate to know and if he has any experience communicating with clients
• Any movement in the project team calls
• Primemaster, Jira, Agile in use
• ICD9, ICD10, CPT, CLAIM MANAGEMENT, MEDICARE, MEDICAID
• PAYOR AND CONSULTING EXPERIENCE
• Difference between ICD9 or ICD10
• Hands on exp working on claims, understating the quotes
• Rules configuration
• Internal projects problematic not required
• Production support implementation experience is must / a huge plus
• Associates or Bachelors required = Bachelor of science
• Convert to permanent
• Conversion salary = will try to compensate based on hourly rate / depends on performance / depends on business needs
• 4-8 years of healthcare experience maximum
• Learn new things
• Constant communication with customer's and how we provide these services
• Top 3 communication, client facing, healthcare experience with claims, quick learner- learn new technologies, team player works with different teams, communications skills, not able to take 15 minutes to answer a question
• This person needs to go long term on this project
• Private location for interview is important

Best Regards,

Akshay Singh

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