Please go through the below requirements and send updated resumes. Thank you!
Hi, Please let me know, if you have any consultant for the below requirement. Thanks! Role: Business System Analyst with Health Care Location: Owing Mills, MD Duration: 6 Months. Job Description: Submit MTM Audit Memorandums (MAMS) to Operations Management that outline the root cause of identified issues as well as provide recommendations for corrective action, system and procedural modification and enhancements to improve service and quality. Issues may include, but are not limited to: weaknesses, inconsistencies and inaccuracies in procedures, controls and system integrity. Compile, analyze and report any fraudulent activity or information to the appropriate departments. This information or activity may represent a potential risk to the corporation, its subscribers, accounts and providers. The area that may obtain this information may include, but is not limited to: Special Investigations Unit, HIPAA Privacy Office, and/or Compliance Office depending on the nature of the information identified. MINIMUM QUALIFICATIONS: Experience /Abilities/Skills: B.S./B.A. degree, or equivalent work experience, along with: A minimum of three years claims/service/enrollment and billing experience or other comparable work experience. Basic understanding of MTM Reporting System Strong knowledge of claims, inquiry, or enrollment processing on a minimum of two platforms: FACETS, FLEXX, NASCO for a minimum of two measures (claims, enrollment, inquiry, group) Moderate understanding of ICD9 coding, CPT coding, medical terminology and the CareFirst Standard Operating Procedures Strong PC skills (Lotus Notes, Word, Excel) Strong analytical and problem solving skills Moderate ability to read and interpret data screens which may include but are not limited to: GMIR, BCIQ, BEI, IACS, CSW, HIQK, OBN, PV40 for two platforms: FACETS, FLEXX, NASCO Ability to read and interpret contracts Ability to research and document audit issues Basic knowledge of statistics Ability to make independent decisions Strong interpersonal skills Ability to interact with multiple levels of Associates & Management Ability to multi-task and change priorities as needed Ability to work both independently and as a member of a team Effective communication skills (verbal and written) Professional attitude & professional attire required Preferred: Two or more years Quality Assurance experience. Thanks and Regards, Gideon Naresh AIM Computer Consulting | 734-591-3562 Ext 1204 Fax: (734) 418-2603 | <mailto:[email protected]> [email protected] | <http://www.aim-cc.com> www.aim-cc.com | <mailto:[email protected]> [email protected] cid:[email protected] Note: We at Aim Computer Consulting respect your On-line Privacy. Under Bills.1618, Title III passed by the 105th U.S. Congress this mail cannot be considered spam as long as we include contact information and a remove link for removal from our mailing list, so we do not believe this email is unsolicited. If you do not wish to receive our e-mails and/or lists, click on the link below and press SEND: mailto:[email protected]?subject=remove_me.please reply from the exact address to which this was originally mailed to or provides the address (es) to be removed. Any inconvenience caused is regretted. -- You received this message because you are subscribed to the Google Groups "KNOW.IT" group. To post to this group, send email to [email protected]. To unsubscribe from this group, send email to [email protected]. For more options, visit this group at http://groups.google.com/group/know_it_az?hl=en.
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