

 | Requirement Title | GLOMARK_592 - Healthcare Testing , Columbus, OH . | | Description | We currently have 7+ Healthcare Testing positions in Columbus, OH and El Paso, TX 6+ month contract Financial Tester - Medicaid or other Healthcare
- Understanding of accounts receivables
- Understanding of accounts payables
- Remittance Advices including the 835
- Claim submission experience would be a plus.
BIAR/MAR/SUR - Experience with BIAR/MAR/SUR experience
- Medicaid or Medicare experience,
- Experience using BusinessObject
- Experience using SQL or a reporting tool is (COGNOS)
Portal - Solid internet background
- Understand the differences of secured versus public portals
- Medicaid or healthcare experience
- Background in claims, PA, Provider
- Need a good understanding of what Providers are and what they do
Prior Authorization - Have development experience with a letter creation application tool such as HP Exstream, Doc1, or something similar.
- Have a concept of how variables on a letter are populated with values from a database.
- Have a concept of how fields on a letter are populated from an on-line environment by an end-user
- Experience with researching the business and technical requirements of a letter and verifying that the letter meet the requirements
- Sql to search for and to compare changes specified in a change order that have been implemented
- Have a concept of how to test letters that are either mass mailed or produced from a batch job.
- Have project management skills and have a concept of multi testing environments to be aware of testing letter values from 1 environment or another.
- Good oral and written skills for the different roles in MITS
Managed care - Base Medicaid/Healthcare Knowledge
- Use of interChange experience
- Managed Care HMO or PCP knowledge(need more than the 834 transaction)
- Capitation and enrollment experience a plus
Buy-IN/Pharmacy - Need to have experience with the Medicaid Buy-in Program
- Need to have tested a pharmacy subsystem (not just the NCPDP transaction)
- Needs to understand NDC coding
| | | Number of Openings : 1 , Duration : 7+ months | | | Respond to this requirement. | |
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