Sky Consulting Inc.

Benefits Configuration Analyst

Sky Consulting Inc. United States

Facets Benefits Configuration Analyst

Remote

C2H role

NOTE: This is a W2 Contract to Hire Role, No Third party candidates, No Sponsorship is available now or in the future

Primary Responsibilities

  • Understand how various components in Facets fit together so claims pay correctly
  • Utilize knowledge of benefit plans and documents to gather details to create/update applicable product configuration elements
  • Collaborate with stakeholders to gather, assess, interpret and document customer needs and requirements
  • Identify and analyze issues to provide solutions
  • Design, configure and build various product / benefit components in Facets
  • Research claims issues to determine configuration gaps, update configuration as applicable
  • Audit configuration against benefit plan requirements / EOC, etc, verify configuration following source documentation
  • Work with minimal guidance and supervision
  • Serve as a resource to other team members
  • Consistently meet established productivity, schedule adherence, and quality standards while maintaining expected attendance.

Requirements

  • 2+ years' experience working with Medicare benefit configuration, claims issue resolution or other areas of Facets configuration
  • 2+ years' experience working with Facets database tables and configuration
  • Proficiency in Microsoft Word, Excel, and Outlook.
  • Computer proficiency including, but not limited to, ability to learn new computer system applications.
  • Ability to multi-task.
  • Excellent oral and written communication skills.
  • Ability to work in a fast-paced, dynamic, rapidly changing environment.
  • Strong aptitude for working in a production driven environment.
  • Must be a self-starter and able to work independently.
  • Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance.

Preferred Qualifications

  • 2+ years' health insurer experience with medical plan case installation or benefit plan building
  • 2+ years' health insurer experience handling provider billing/co-payments/co-insurance
  • 2+ years' health insurer experience resolving provider claim issues
  • Experience with Medicare medical benefit plans
  • Facets configuration experience

Background Check :Yes
  • Seniority level

    Associate
  • Employment type

    Contract
  • Job function

    Information Technology
  • Industries

    Staffing and Recruiting

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