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Systems Analyst II

3 months ago

Detroit, United States TekWissen LLC Full time
Job DescriptionJob DescriptionOverview: TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc. Title: Systems Analyst IIWork Location: Detroit, MI, 48226Duration: 12 MonthsJob Type: Contract Work Type: Hybrid(Once a week)Dept: Auto/URMBT/MESSA Custom
Engagement Description:
  • This role will be responsible for implementing benefit changes for multiple client customers, working in the claims benefits system to identify and document requirements for system changes, claims testing and validation of system enhancements, and implementation of changes.
Top 3 Required Skills/Experience
  • Strong medical and facility claims background, understanding of the billing process, ICD codes, procedure codes, diagnosis codes.
  • Strong knowledge of medical claims benefits processing.
  • Detailed knowledge of medical, dental, vision, and hearing benefits.
Required Skills/Experience The rest of the required skills/experience. Include:
  • Excellent analytical and organizational skills including the ability to manage multiple concurrent assignments.
  • Ability to write clear and concise documentation that can be understood by others who may not have direct knowledge of the subject.
  • Microsoft Office skills (Word, Excel, Access).
  • Great interpersonal skills, collaboration skills, and a team spirit attitude
Preferred Skills/Experience Optional but preferred skills/experience. Include:
  • NASCO 3270 Mainframe experience.
  • Experience with membership/eligibility.
  • BFM/BFAST benefit configuration experience analysis, testing, configuration, documentation and all quality processes.
  • Working knowledge of SharePoint
Education/Certifications Include:
  • Bachelor's Degree in related field preferred.
  • Medical Billing/Coding preferred.
TekWissen Group is an equal opportunity employer supporting workforce diversity.