13 Oct
|
Innova ESI
|
Hyderabad
13 Oct
Innova ESI
Hyderabad
Role : Business Analyst (Claims Adjudication) (2 Yrs to 15 Yrs)
Location : Hyderabad
Domain and Business analysis Skills
• Healthcare, Dental, Medicare, Medicaid, or Commercial Claims Processing.
• Claims lifecycle management.
• Claims adjudication rules and payment methodologies.
• Provider contracts and fee schedules.
• Advantages, eligibility, COB, and authorization processes.
• Medical coding (ICD-10, CPT, HCPCS) and/or Dental Coding (CDT Codes)
• Requirement Gathering
• Process Mapping
• Gap Analysis / Root Cause Analysis
• UAT Planning and Execution
• Preferred knowledge different claims processing platforms
📌 Business Analyst (Hyderabad)
🏢 Innova ESI
📍 Hyderabad