Description
We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.
Develops and executes comprehensive testing processes for system enhancements and new products and processes encompassing all aspects of customer service including claims, enrollment, provider contracts, and benefits administration.
Responsibilities:
- Create and execute defined unit testing processes to provide quality audits for vendor contracts prior to implementation
- Assist with testing simple system enhancements
- Prepare and execute a comprehensive test plan and test scripts to provide quality audits for vendor contracts to ensure quality and accuracy is maintained
- Verify that system functions according to user requirements and conforms to established guidelines
- Follow standardized best practices for documenting and executing simple to moderately complex test plans
- Validate test results, document discrepancies, and follow through with resolutions to ensure all issues are resolved
- Report progress of problem resolution to management
- Communicate test outcomes to end users for sign-off on the results
- Serve as liaison between the system end users and the IT team
Requirements:
- 2+ years related experience in a service center medical claims processing or managed care operational role
- 1 year recent and related system processing, payment, and benefits experience, preferably IDX managed care
- Broad knowledge of medical terminology, claims, customary and reasonable cost containment, coordination of benefits, diagnosis coding, and general customer services sources
- Excellent verbal and written communication skills
Benefits:
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
Pay Range: $17.00 - $25.65 per hour
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