Benefit Configuration Analyst

　　The Benefit Analyst is a member of a cross functional team of business experts tasked to work independently and collectively to manage the configuration of various functions within a core medical and dental claims administrative platform. The analyst will play a key role in obtaining and analyzing requirements, configuring the system components and reviewing/validating the configuration with the Business owners to ensure requirements and quality goals are met.Provides analysis and documentation that support configuration, design, requirements, testing and audits.Provides support for activities related to training and communication of configuration and system capabilities.Support overall system enhancements in design and testing.Participates in client meetings representing Benefit Configuration for full understanding of client intent.Works closely with Carriers and Internal Management to identify and implement new procedures and processes to improve department efficiencies or as instructed by the Carrier.Participates and facilitates meetings to support decision making, enhancements, problem solving and process improvement.Answers inquiries from clients, claims and customer service.Documents policy and procedures.Contributes towards daily departmental performance and service level guarantees and achieve individual performance goals around accuracy and timeliness.

　　Strong understanding of benefit configuration and claims examining.5-7 years of experience in insurance industry.Strong CPT/HCPCS Procedure code, revenue code and ICD 10 knowledge.High aptitude for working with numbers. Ability to coordinate activities with team members. Ability to multi-task, adapt to change, manage shifting priorities and meet timelines.Possesses excellent interpersonal and communication skills.Detailed knowledge of all medical claim coding requirements.Strong attention to detail, analytical skills and problem-solving skills.Must have solid work ethic and positive demeanor.Strong computer knowledge. Efficient with Microsoft Office products.