Employer Industry: Healthcare Services

Why consider this job opportunity:
- Competitive benefits and compensation package
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a significant impact on claims processing and data accuracy
- Work with a diverse range of operational and claims systems

What to Expect (Job Responsibilities):
- Implement and maintain critical information on claims databases to ensure data integrity
- Analyze and interpret data for appropriate configuration changes in benefits and contracts
- Code, update, and maintain benefit plans, provider contracts, and fee schedules
- Research and resolve claim/encounter issues and update systems as necessary
- Prioritize tasks to manage fluctuating volumes of work and meet deadlines

What is Required (Qualifications):
- Associate degree or equivalent combination of education and experience
- 2-5 years of relevant experience in claims processing or database management
- Ability to analyze and interpret state and federal benefits and contracts
- Proficiency in handling coding and maintaining system tables
- Strong organizational skills to prioritize work effectively

How to Stand Out (Preferred Qualifications):
- Bachelor’s degree or equivalent combination of education and experience
- 5-7 years of experience in claims processing or healthcare data management
- Familiarity with configuring benefits and contracts in a healthcare setting

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