Claims Support BA/PM - ClaimCheck (JRM)

This person can sit anywhere in the U.S. and work from home!


Claims Support Consultant/Business Analyst | Project Management

Location: Malvern, PA 19355
Interview Schedule: Phone screen, then personal interview with hiring manager and technical team leaders.


Position Summary (Purpose of job):
The Claims Solutions Consultant is responsible for providing functional, and integration and project management expertise for the implementation of core products (ClaimCheck, ClaimCheck Plus (with Wizard and Policy Administration Module components), CodeReview, C3, InvestiClaim, and Contract Symphony). In addition, this position is responsible for understanding the customer's business processes, claims environment, payment policies and performing consultative business services to achieve high customer satisfaction and return on investment.
Key Responsibilities:
• Independently lead implementation projects providing function and detail design specifications. Responsible for conducting training and education classes for employees or customers regarding features and operation of ClaimCheck/ClaimCheck Plus/CodeReview/C3 processes, technology and resource competencies for solutions. Perform additional service offerings and billable consultative services as required. Identifies and helps market implementation projects and additional services offerings to generate revenue.
• Effectively participate on internal project teams. Conduct training needs analyses and develop implementation training materials.
• Enter labor, submit forecast, supply requested metrics and attend team meetings
Minimum Job Qualifications:
Education/Training
• Bachelor’s Degree in computer science, healthcare related field, or equivalent business experience
• Formally trained on the features and functionality of ClaimCheck or CodeReview
Business Experience
• 3 to 5 years of experience in health care combining first hand payor, consulting, and training experience III.
Specialized Knowledge/Skills
Products and Services:
• Understands the features and benefits of all CACD products and services
• Explains all CACD products and services effortlessly to customers
• Demonstrates effective use of the ClaimCheck/CodeReview/C3 product and services
• Understands the CACD overall strategic plan B.
Customer’s Business:
• Deeply understands the payor environment and claims management
• Deeply understands the different customer segments (national, strategic, and specialized)
• Understands architecture, infrastructure, and multiple platforms
• Discusses customer issues (pains and trends) confidently with customers
Communication:
• Delivers presentations effectively to the customer
• Able to understand and articulate product knowledge packs
• Conducts customer meetings/trainings efficiently and effectively
Business Processes:
• Understands all of the phases of the service and support cycle: design, implementation, and support
• Deeply understands product and solution life cycle
Operations:
• Effectively addresses assigned customer requests and issues
• Garners customer feedback through training surveys and post engagement surveys F. Clinical
• Understands medical terminology, healthcare industry terminology, and coding terminology
• Articulates the clinical value of products and services provided to customers G. Software
Tools:
• High-level proficiency in the following software:
• Word • PowerPoint • Excel • SAGE • Visual Basic a plus • Other tools used for shared Solution Services communication, such as Web conferencing
Working Conditions:
General Office conditions Travel 30% to 65% (This description is general in nature and is not intended to be an exhaustive list of all responsibilities. Other duties may be assigned as needed to meet company goals.) 




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Reply directly to:
Jason R. Martin
Professional Recruiter
Apex Systems, Inc.
jmartin@apexsystemsinc.com
http://www.apexsystemsinc.com
http://www.linkedin.com/in/jasonrmartin
http://twitter.com/jasonrmartin

Category:	Healthcare/Social Services
	> General Healthcare      > Medical Billing      > Other Healthcare/Human Services      > Other Healthcare      > Other Human Services
Location:	Malvern, PA
County:	Chester County
ZIP Code:	19355
Pay Rate:	Open
Job Terms:	over 1 year (contract)
Company:	APEX Systems, Inc.
Phone:	email only
Fax:	email only