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Claims Processor

Computech Corporation
Mason, OH Contractor
POSTED ON 7/15/2024 CLOSED ON 7/18/2024

What are the responsibilities and job description for the Claims Processor position at Computech Corporation?

About Us:

Computech Corporation has over 25 years of experience providing contract, temporary, and direct-hire staffing services. We successfully work with public and private sector entities nationwide and offer staffing solutions for Information Technology (IT), Engineering, Medical, Professional, Finance, Administrative, Light industrial, Manufacturing, and other workforce needs.

Job Title: Claims Testing Analyst

Requisition Details:

  • Work Hours: 7:00 AM - 3:30 PM or 8:00 AM - 4:30 PM
  • Remote or Onsite: Hybrid – 2 days a week in Mason, OH.

GENERAL FUNCTION:

Validation of base data in test environment to ensure setup complete prior to commencement of testing efforts. Claims creation and validation for client testing requests and new client implementation. The Analyst will be the liaison to the Senior Analysts and Manager of the Claims Testing team to identify claims processing discrepancies due to system setup issues that require cross functional partnership and retesting.

MAJOR DUTIES AND RESPONSIBILITIES

  • Work with cross functional departments to ensure system is ready for testing scenarios to be keyed.
  • Validate the integrity of claims data in the claims and payments UAT systems.
  • Track all testing defects and the status of the defect resolution through re-testing.
  • Analyze and document clear and concise testing results so there is a smooth transition to claims and payments production systems.
  • Maintain effective, on-going communication within Claims Testing Team and other key departments.

BASIC QUALIFICATIONS

  • Experience in Claims or Data processing / testing.
  • Intermediate Level knowledge of PCs and spreadsheet applications.
  • Working knowledge of Claims Adjudication, Payments/Billing, and Data Reporting systems.
  • Ability to multitask and manage project timelines.

PREFERRED QUALIFICATIONS

  • Analysis experience.
  • Knowledge of Oracle SQL and/or Business Objects/EDW.
  • Knowledge of Facets
  • Knowledge of SAP

NIT01

Job Type: Contract

Pay: $18.00 - $21.00 per hour

Work setting:

  • In-person

Experience:

  • Healthcare management: 2 years (Preferred)
  • Facets: 2 years (Preferred)
  • claims: 3 years (Required)

Work Location: In person

Salary : $18 - $21

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