4424 HICS Resolution Analyst

Location: Phoenix, AZ, United States
Date Posted: 05-11-2018
Our client is a leading, “global ten” provider of custom information technology, consulting and business process outsourcing services, and serves primarily Global 2000 companies. The firm employs more than 150,000 people and works with 805 active clients across banking & financial services, insurance, healthcare, life sciences, retail/consumer, manufacturing, energy, communications, and media. Since being spun-out as a public entity in 1998, the company has grown at an unprecedented rate, with anticipated revenue of >$8, making the fastest growing IT services company over the last 10 years, and certainly the most profitable now featuring a market capitalization greater than $18B. Client is a member of the NASDAQ-100 Index and the S&P 500 Index and part of “Fortune 500” list.
 
Role and Responsibility:
§ Provide oversight of HICS and CTM system
§ Ensure full resolution of HICS and CTM cases within regulatory timeframes and defined requirements
§ Research, follow up and resolve discrepancies associated with membership eligibility
§ Analyze member eligibility and take appropriate actions to resolve issues across all eligibility systems
§ Oversee, analyze and provide feedback to all areas that participate in the HICS and CTM case resolution
§ Develop, implement and execute HICS and CTM training to business areas as needed
§ Analyze and evaluate operations to identify and suggest process improvement
§ Monitor and track HICS and CTM data
§ Identify irregular trends with HICS and CTM cases; work with other areas as appropriate to identify root causes and take appropriate steps for resolution
§ Document and report data to appropriate internal committees
§ Make outbound phone calls in support of Enrollment processes
Perform any other job related instructions as requested

Qualifications:
  •        High School Diploma or Equivalent
  •         Excellent communication skills
  •         Proficient in MS office
  •         Knowledge of HIPAA regulations and healthcare administration functions, including claims processing, eligibility verification, provider verification and preauthorization desirable.
  •         Any prior experience or knowledge on QNXT will be good to have.
If you bring willingness, flexibility and a desire to impress please apply now. 
  
Resource Manager:  Deepa
Email:  deepa@reqroute.com
Phone:   602-625-3427
 
Companies across U.S. have engaged ReqRoute, Inc to deliver skilled, dedicated IT professionals. Recruiting is our passion and we support Fortune 1000 companies with their hiring needs. We always seek to deliver competitive and sought-after career opportunities to our potential consultants and employees. We invite you to review the position requirements and apply today if your skills match our needs.  
 
ReqRoute, Inc is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law. (www.reqroute.com)
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