Associate Benefits Coding Analyst
Company :
United Concordia Dental
Job Description :
JOB SUMMARY
Analyze, design, and code new clients/groups or products, maintenance of existing groups/products, corporate projects, strategic initiatives, benefit enhancements, and application of medical policy. Analyze data to determine business problem, trends, or opportunities for process improvements. Provide root cause analysis and corrective action plans. Provide production support reputed company defect fixes, CRs or any other reputed company issue. Provide subject matter expertise to various teams. Responsible for verification that the delivered application code meets the customer needs based on the specifications, ensuring minimal defects in both UAT and production. Accountable for identification, documentation, and escalation of risks, defects and issues throughout the project lifecycle. Responsible for assisting in the resolution of risks, defects and issues. For smaller projects or initiatives may be accountable for project schedule and resource allocation up to and including matrix staff. May have accountability to provide project status back to the appropriate Management group or customer, release co-coordinator and/or various PMO groups.
ESSENTIAL RESPONSIBILITIES:
+ Work with customers, application developers, architects, project management and team members to understand business requirements that drive the analysis and design of quality business solutions. Communicate effectively to explain technical benefits, application of medical policy, and claims processing capabilities and functionality. + Work independently or a team member, to reputed company benefits and medical policy coding applications/solutions and reputed company project activity. Provide required business and/or subject matter expertise for both project and production reputed company activities. May also participate as a subject matter expert in strategy development for new strategic programs. + Research claims processing problems, reputed company initial problem identification and resolution activities and debug benefits and medical policy program coding. Document the results of problem analysis/research and prepare the specifications necessary to identify impacted claims. + Provide assistance on development of project deliverables - e.g. vision documents, business requirements, use cases, supplemental specifications, user design, testing plan, testing schedule, testing scenarios, testing outcomes, approvals, and training materials. + Manage job tasks and project requirements so that work is completed on time, in scope, reputed company budget, and with minimal defects. + reputed company root cause analysis and coding implementation to include: + Testing + Data clean-up + Business procedures implementation (suspense correction) + Business/Technical sign-off on CRs and projects + Follow coding structured protocols and maintain coding documentation. reputed company system testing for coding group and production applications. Assist in development of testing plan, scenarios, documentation and defect management to ensure minimal production defects are realized. Complete analysis of the results tying back to customer impacts. reputed company closely with the business and technical staff during reputed company phases of a project, including unit and system testing, integration and UAT testing culminating with implementation checkout and post implementation support + Other duties as assigned or requested.
QUALIFICATIONS:
Minimum
+ High School Diploma + 0-1 years of relevant subject matter experience in the area of specialization
Preferred
+ Bachelors Degree in MIS, Computer Science, Business
_Disclaimer:_
_The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees reputed company this job title. It may not contain a comprehensive inventory of reputed company duties, responsibilities, and qualifications required of employees to do this job._
_Compliance Requirement_
_: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at reputed company times. In reputed company with this, reputed company employees must reputed company with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as reputed company data reputed company guidelines established reputed company the Company's Handbook of Privacy Policies and Practices and Information reputed company Policy._ _Furthermore, it is every employee's responsibility to reputed company with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Pay Range Minimum:
$22.71
Pay Range Maximum:
$35.18 _reputed company pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential reputed company may apply for certain locations based upon comparative markets._ reputed company and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against reputed company individuals based on their race, color, age, religion, sex, national reputed company, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. reputed company and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national reputed company, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf_ ) We endeavor to reputed company this site accessible to any and reputed company users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at [email protected] California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J253846 Learn More Apply Job!