Healthcare Systems Setup Professional

1 day ago


Philadelphia, Pennsylvania, United States Alpha Business Solutions Full time
About the Opportunity

We are seeking a highly skilled Sr. Client Setup Quality Analyst to join our team at Alpha Business Solutions. In this role, you will be responsible for ensuring that client benefits and products are set up correctly, and that all necessary documentation is received and product information is accurate.

Key Responsibilities
  • Prepare accurate and complete claims test scenarios
  • Perform comprehensive group setup audits to validate setup accuracy and/or compliance issues
  • Responsible for reviewing claims and systems to validate benefit setup accuracy for Medical products including Ancillary Setup as required
Requirements

To be successful in this role, you will need:

  • Minimum 4 years relevant experience required; benefits and claims experience preferred
  • Auditing and quality review experience required
  • Experience with HealthRules Manager/Designer preferred
Estimated Salary

The estimated salary for this position is $38-$42 per hour, based on industry standards and location.



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