Jobs Opening
Position ID :Q-IN-2017-PS043
Date Posted : 03-16-2017 (mm-dd-yyyy)
Jobs Title : Medical Claims Business Analyst - Intern
No of Openings : 4

Job Classification: Internship

Location:
Qtech Solutions Inc.
3 Executive Drive, Suite 320
Somerset, New Jersey USA 08873.
Contact:
Director Operations
NJ Phone : 732-770-4100 Fax: 888-532-0210
Email      : hrs@qtech-solutions.com

Job Duties

This Training as Internship is conducted for 12 Weeks to Fresh and Alumni Students. Selection for Internship is based on GPA and Interview performance. Our Placement division supports various pharmaceutical, healthcare and financial firms, by providing staffing resources meeting cost efficiency, time saved and commitment to their hiring needs. Successful Intern, will be provided an opportunity to work at our client sites on contract as full-time employee of Qtech with benefits.

  • Analyzes and trends claims issues, performs true root cause analysis, and determines next steps for resolution and process improvement.
  • Develop, document, and ensure the execution of claims processing and related controls, including fee schedule, code set, and third party pricing maintenance.
  • Understand and communicate requirements for incoming claims and outgoing encounter claims data, including but not limited to professional (837P), institutional (837I), and dental (837D) claims.
  • Participate in the development and execution of third party claims and claims-related audits.
  • Comprehend and accurately interpret health plan, state and federal health care claims benefits, billing, and processing requirements.
  • Review incoming Claim Notices and Loss Data to confirm appropriate responses, determine trends, and identify high exposure cases.
 
Education : Bachelors Degree in:
Mathematics, economics, Business Administration, Pharmacy, Information systems, informatics, statistics or comparable filed involving quantitative analysis is required.
 
Experience : 0-2 years
 
Application End Date: 06-16-2017 (mm-dd-yy)
 

Please forward Your resumes along with position-ID to hrs@qtech-solutions.com

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