Healthcare Systems Analyst II
2 weeks ago
Position: Systems Analyst II
Company: KYYBA Inc
Role Overview –
This position entails overseeing the implementation of benefit modifications for various significant healthcare payer clients. The selected candidate will engage with the claims benefits system to ascertain and document the necessary requirements for system alterations, conduct claims testing, validate system improvements, and facilitate the execution of these changes.
Essential Skills and Experience –
- In-depth understanding of medical and facility claims, along with a comprehensive grasp of the billing cycle, including ICD codes, procedure codes, and diagnosis codes.
- Extensive knowledge of the medical claims benefits processing landscape.
- Thorough familiarity with medical, dental, vision, and hearing benefits.
Additional Required Skills –
- Exceptional analytical and organizational capabilities, with the ability to juggle multiple tasks simultaneously.
- Proficiency in crafting clear and concise documentation that is accessible to individuals without specialized knowledge.
- Competence in Microsoft Office applications (Word, Excel, Access).
- Strong interpersonal and collaborative skills, fostering a team-oriented environment.
Preferred Qualifications –
- Experience with NASCO 3270 Mainframe.
- Familiarity with membership and eligibility processes.
- Experience in BFM/BFAST benefit configuration, including analysis, testing, documentation, and quality assurance processes.
- Basic knowledge of SharePoint.
Education and Certifications –
- A Bachelor's Degree in a relevant field is preferred.
- Medical Billing/Coding certification is advantageous.
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