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Medical Claims Business Analyst

VKore Solutions LLCUnited States🇺🇸United StatesPosted Sep 21, 2026

Quick Overview

Seniority
Mid Senior
Work mode
Hybrid
Location
United States
Posted
22 hours ago
EHREMRElectronic Health Records

Job Description

Key Experience:

  • Strong knowledge and hands-on experience in Medical Claims Adjudication across multiple payers.
  • Experience creating functional requirements documentation such as BRDs (Business Requirements Documents) and DSDs (Design Specification Documents).
  • Experience configuring claims-related business rules based on policy, business, and technical requirements.
  • Strong Healthcare domain experience is mandatory.
  • Hands-on experience working with Electronic Health Records (EHR) and Electronic Medical Records (EMR) systems.
  • Comprehensive understanding of healthcare business processes, payer-provider workflows, claims processing, and regulatory requirements.

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