Claims Systems Specialist

2 weeks ago


Detroit, Michigan, United States Strategic Staffing Solutions Full time
Position Overview:
As a Claims Systems Specialist, you will play a crucial role in managing and implementing benefit modifications for various clients. This position involves working within the claims management system to identify, document, and analyze requirements for system enhancements, as well as conducting claims testing and validation of updates.

Key Responsibilities:
- Collaborate with stakeholders to ensure accurate implementation of benefit changes.
- Utilize your expertise in medical and facility claims to navigate the billing process effectively, including a thorough understanding of ICD codes, procedure codes, and diagnosis codes.

Essential Qualifications:
- In-depth knowledge of medical claims processing and benefits management.
- Comprehensive understanding of various benefit types, including medical, dental, vision, and hearing.

Technical Skills:
- Proficiency in Microsoft Office Suite (Word, Excel, Access).
- Experience with NASCO 3270 Mainframe systems.
- Familiarity with BFM/BFAST benefit configuration, including analysis, testing, documentation, and quality assurance processes.
- Basic knowledge of SharePoint for documentation and collaboration.

Educational Background:
- A Bachelor's Degree in a relevant field is preferred.

Additional Preferences:
- Experience in Medical Billing and Coding is advantageous.

At Strategic Staffing Solutions, we are committed to enhancing the communities we serve through active participation in volunteer and charitable initiatives.

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