Healthcare Business Analyst / Benefits Analyst (NASCO)

Global Information TechnologyDetroit, MI
Onsite

About The Position

This role is for a Healthcare Business Analyst / Benefits Analyst with strong experience in NASCO 3270 Mainframe. The position involves preparing and executing test claims for all lines of business, demonstrating a strong knowledge of professional and facility medical claims. The analyst will be responsible for interpreting business documents and translating them into business requirements, with a solid understanding of Medical Benefits and Payment Policy. Experience with NASCO Classic group benefits and claims processing is essential, along with proficiency in Microsoft Office and SharePoint. The ability to manage multiple priorities and collaborate with cross-functional teams is also required.

Requirements

  • Strong experience with NASCO 3270 Mainframe
  • Strong knowledge of professional and facility medical claims
  • Ability to interpret business documents and translate them into business requirements
  • Knowledge of Medical Benefits and Payment Policy
  • Experience with NASCO Classic group benefits and claims processing
  • Proficiency with Microsoft Office and SharePoint
  • Ability to manage multiple priorities and work with cross-functional teams

Nice To Haves

  • Ability to read and interpret Benefit File Code, GENO Tables, Procedure & Diagnosis Files
  • Experience writing queries
  • Experience with Excel macros
  • Experience creating and updating CSR documentation

Responsibilities

  • Prepare and execute test claims for all lines of business.
  • Interpret business documents and translate them into business requirements.
  • Manage multiple priorities and work with cross-functional teams.
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