COSMOS Analyst
As an COSMOS Analyst you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards .
Responsibilities : -
- Understanding of US Healthcare Payor work-streams including Claims, Network and Pricing, Provider Management, Medical Management, Premium Billing and Payment, Member Enrollments, Benefits Management,.
- Well versed with various lines of business specifically Medicare .
- Healthcare industry standards and codes usage - ICD10, HCPCS, CPT, Revenue Codes, DRG, APC and NDC .
- Experience with COSMOS / UNET / NICE,
- COSMOS Configuration : Set up of Benefit Plan, Network and Supplier Contracts (Pricing), Providers, Enrollment, Premium, and Account, sub-accounts, etc.
Review, interpret and / or verify contract language, information, and intent to load information into systems properly Ensure contract templates can be administered across operations (pricing config, claims,
Experience : -
5+ Years
Location : -
Remote
Educational Qualifications : -
- Engineering Degree BE / ME / BTech / MTech / BSc / MSc.
- Technical certification in multiple technologies is desirable.
Skills : -
Mandatory skills
- COSMOS and Healthcare
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