Healthcare Claims Functional Analyst

Healthcare Claims Functional Analyst Elite Technical is seeking a Healthcare Claims Functional Analyst to support our client, a major Healthcare organization. This position is 100% onsite in Baltimore Maryland (M-F) and is a Contract to Permanent opportunity with our client. The selected candidate will analyze Healthcare Claims information in different formats (mostly MS Excel), then enter/map this information into our clients benefits system.

Provides Operations Support by obtaining facts; analyzing problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to customers.

• Research and improve operations by examining and researching systems problems by obtaining facts, analyzing problems/identifying root cause recommending and facilitating resolution.
• Supports operations systems by providing operating information to customers; answering questions; providing training.
• Contributes to operations analysis and organization success by welcoming related, different, and new requests; helping others accomplish job results, development of Standard Operating Procedures (SOP) and other essential documentation,
• Verifies operations systems by developing testing methods; conducting and documenting tests.
• Improves operations analysis job knowledge by attending training sessions; reading technical publications.

• Education Level: HS or GED is required. BS Degree is preferred.
• Experience:
  
  2+ year + BS Degree (6 years if no degree)
• 2 years experience within a Healthcare Insurance environment, analyzing/validating claims data for proper entry.
• Must have strong MS Excel experience (Pivot Tables, v-Look ups, etc..)
• Must have strong Data Entry skills
• Must have strong knowledge around claims processing

• ICD 9/10 Coding
• SW Tools:
  FixIT and/or Adobe
• Luminex
• Oracle