Building Analyst
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Job Description
Plan Building Analyst coding medical, dental, and vision benefits for Allied Benefit Systems. Maintaining Qiclink configurations, accumulators, documentation, and claims-processing accuracy.
Responsibilities:
- Analyze plan documents to accurately build and maintain group set-up in the Qiclink System
- Accurately code self-funded and fully insured groups based on plan documents
- Update coding for all plan changes
- Set up and maintain HRA processing plans
- Maintain applicable programs for appropriate sharing of prescription accumulators
- Audit completed tasks for accuracy
- Create and maintain group documentation for claims requiring manual intervention
- Use Excel spreadsheets and Access databases to complete tasks efficiently
- Assist in automation by coding benefits that require no intervention
- Manually add accumulators for new groups when necessary
- Coordinate with plan documentation and account management staff on detailed benefit-level coding
- Analyze and correct problems identified through claims, plan tester, and customer service referrals
- Test and document each system upgrade
- Attend required continuing education, including HIPAA training
- Respond timely and accurately to benefit-related questions
- Perform other duties as assigned
Requirements:
- Bachelor’s degree or equivalent work experience required
- 3 or more years of comprehensive experience building and coding medical, dental, and vision plans
- Minimum of 3 years’ experience using the Qiclink system
- Strong analytical skills
- Knowledge of computer systems and CPT and ICD-9 coding terminology
- Proficient in Excel and Word
- Experience with or ability to learn Microsoft Access
- Strong written and verbal communication skills
- Internet service through a cable broadband or fiber optic provider with at least 100Mbps download/25Mbps upload
- Knowledge and adherence to applicable privacy and security laws, including HIPAA and HITECH
Benefits:
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Life and Disability Insurance
- Generous Paid Time Off
- Tuition Reimbursement
- Employee Assistance Program (EAP)
- Technology Stipend
- Flexible work-from-home arrangement
- Cable broadband or fiber internet requirement supported for remote work
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