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Innovative Recruiting Solutions
  Company Profile
Launched in 2006, Innovative Recruiting Solutions is a recruiting firm focused on providing superior recruiting services to businesses in the Richmond community. After spending many years in the corporate recruiting environment, we have developed an in depth understanding of the staffing needs and challenges that employers face in today's market. We've developed a business model that will allow companies of all types and sizes to utlize our services. Our goal is to provide companies with the highest caliber talent that will give them a competitve edge.
  Job Details 

UAT Business System Test Analyst : TOPPS, CAPS, UWIN, ICPS : Rochester, NY

Posted On:  5/21/2021 3:39:29 AM

UAT Business System Test Analyst

No. of vacancies:  1
Qualifications:  Bachelor Degree
Essential Skills: 
Not specified
Minimum Total Experience:  3
Job Tenure:  No Preference/Any
Salary Offered:  DOE
Job Location:  Rochester, NY United States

  Job Description
inimum Qualifications:

• • Bachelors degree and a minimum of 4 years claims processing experience required. In lieu of degree, 10 years related experience or equivalent combination of education and experience in related field required.

• • Maintains familiarity with the latest techniques for project analysis, testing and implementation of projects.

• • Experience in structured analysis, design and test data gathering techniques required.

• Extensive knowledge of reimbursement methodologies/benefit design and contract language (member and provider).

• • Experience with any combination of the following LRSP/TOPS, TOPPS, CAPS, UWIN or ICPS and iFacets applications required. Required to have experience in at least two of these claims systems.

• • Ability to propose business strategies to assist in meeting the process improvement goals set by the Corporation.

• • Knowledge of provider billing practices including national coding schemes such as CPT-4, Revenue, HCPC, and ICD-9.

• • Strong analytical and problem solving skills.

• • Ability to identify root causes of business and/or workflow problems and determine innovative sources for solutions and opportunities.

• • Must have solid communication skills both oral and written.

• • Expertise in multiple business areas across all Lifetime Health plans required.

• • A working knowledge of PCs and office applications including Microsoft Excel and Word is required.

• • Ability to work independently.

• • Knowledge in Federal and State benefit regulations/mandates.

• • Meets established quality and quantity metrics

• • Keeps current on Federal, NYS and Department of Health benefit mandates and regulations

• • Keeps current on claim processing procedures and policies.

• • Knowledge in reading and interpreting system coding.

Physical Requirements:

• Ability to travel a must • Use of a computer for extended periods of time • Use of an office telephone a must Equal Opportunity Employer

  Contact Information
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