Healthcare Claims Setup Specialist

Healthcare Claims Setup Specialist needs 2+ years’ experience.

Plan Setup Specialist requires:

• Experience using Microsoft Word and Microsoft Excel software (requirement)

• Ability to work well in a team setting

• Strong communication and analytical analysis skills required

• Previous system testing or auditing experience a plus

• Experience in the Healthcare industry a plus

Plan Setup Specialist duties:

• Responsible for setting up new Managed Care groups in the claims system

• Responsible for fulfilling requested revisions to existing Managed Care group in the claims system (except Reseller product changes)

• Responsible for creating “standard” products in the system (using the Product Key Sheet method)

• Responsible for performing audits on client setup or maintenance requests (excludes complex product configuration requests)