IDEALFORCE has a CONTRACT position available immediately for a Payer Claims Test Lead t to join our customer in Southfield, MI. This is an ONSITE position. Please find below additional details about this job. Only candidates available for immediate start needs to apply.
Job DescriptionWe are currently looking for a resource who has very good experience on ICD 10 test planning and execution in addition to the skills listed below.
- Healthcare Payer Operations, ICD-10 testing (primary skill), Claims Processing, Test Execution
- Setting up Test strategy and planning
- Test the impact of ICD-10 implementation on Claims from the Payer side.
- Impact of ICD-10 implementation in Benefits and Pricing
Qualifications- NEED LEAD TESTING EXPERIENCE with PAYER BACKGROUND
- Claims processing – 3-4 years.
- Worked on ICD 10 claims and impacts from the payer side – Claim adjudication. Most of the resumes had provider portal ICD 10 experience. Providers use ICD 10 codes to enter the claims. Very minimal impact there.
- Functional Testing – 3-5 Years
- Benefits and Pricing – 1-2 years.
- Good understanding on 5010 implementation.
- Expert knowledge and experience on ICD codes.
Additional Information- "All your information will be kept confidential according to EEO guidelines". - All candidates who are authorized to work in US are encouraged to apply. - Candidates must clear the Background check prior to commencing the assignment.
SOURCER ASSIGNED:
Pete Tylor; Email: pete dot tylor at idealforce.com
Disclaimer :
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
Skills Required
- Lead testing experience with payer background
- Claims processing experience (3-4 years)
- Experience with ICD-10 claims and payer-side adjudication
- Functional testing experience (3-5 years)
- Benefits and pricing experience (1-2 years)
- Good understanding of 5010 implementation
- Expert knowledge and experience on ICD codes
- Onsite availability in Southfield, MI and immediate start
- Ability to clear background check
What We Do
Idealforce is a premier talent acquisition solutions provider that helps corporations find top-performing talent through innovative ways and technologies. The company offers unparalleled talent acquisition and management services, helping businesses find quality talent cost-effectively while assisting talented individuals in finding the best employers where their skills are recognized and rewarded.
