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Magna Infotech Limited
Job Shared by MonsterIndia
Job Description

we are looking out for candidates with:
1) Good US Healthcare Understanding/experience (around 5 years or so) in Payer Domain
2) Good communication skills
3) Some of the keyword which we can explore are €œ US Healthcare Consultant€, €œHealthcare Consulting€, €œFacets€, €œEpic€, €œhealthcare Business Analysis€, €œPayer domain€, €œhealthcare analytics€, €œMedicare€, or €œMedicaid€, €œEMR/HER€, and €œEDI or Electronic Data interchange€

Please find the Detail JD:

Health Plan Membership & Billings
? Understand the current healthcare membership and billing process.
? Process all membership for Commercial groups or prepare the necessary membership change paperwork to be forwarded to Enrolment on an accurate and timely basis as per policies and procedures
? Notify billed groups on membership discrepancies and the changes made as a result of their payment submission
? Process the warning letters for all of the groups or individuals with unpaid premiums
? Communicate, orally and in writing, with employer groups and/or members of outstanding balances, discrepancies and other issue
Health Plan Administration
? Ability to analyze benefit administration issues to determine the need for and the scope of policies and procedures
? Develop administration policies and procedures or business recommendations to ensure uniform, cost effective claims administration practices that comply with the law, plan documents and other company policies
? Maintain project planning, model business requirements for new systems and enhancements to existing systems
Health Management & Consumer Experience
? Organize, direct, control and coordinate medical and health services in relation to policies set by authorities
? Help the mangers to plan budgets and set rates for health services as per current market
? Develop procedures for quality assurance, patient services, medical treatments, department activities and public relations outreach
Qualities Needed for This Jobs
Business Analyst, Health, Care
Candidate Profile
Job Openings For Business Analyst
Looking for Any Graduate / Post Graduate graduates profile.
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More Information
Location Chennai
Education Any Graduate / Post Graduate
Experience 5 (yrs)
Industry Computers / IT
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