17 Mar

Associate Business Analyst - Chennai - Wipro Ltd

Position
Associate Business Analyst
Company
Wipro Ltd
Location
Chennai TN
Opening
17 Mar, 2017 30+ days ago

Wipro Ltd as the company that open the jobs vacancy, have some qualification and spesification especially for the Associate Business Analyst jobs vacancy. To find out more information and about qualification and spesification details, walkin interview schedule, the address of the company, the company contact info (email/phone number) of Wipro Ltd company, please start to apply for the job vacancy with fill the jobs application with click the 'Apply This Job' button below.

Mandatory Skills:Business Analysis Job Description:
Key skills required for the job are:
Business Analysis (Mandatory)

Minimum work experience: 5- 6 YRSYears
Specific working experience in endto end policy administration & processing platforms likeFacets, Proclaim, etc , and should have experience with some of thefollowing functional areas based on their core experience. Skillsets are commonfor onshore and offshore from a domain perspective.

1.Membership and Eligibility: Eligibility and Member Enrollment, Premium Billing Transactions, AccountReceivable, Letter and ID Validations, Client and Customer setup?conceptsand as established in practicum and as configured in processingplatforms?and Maintenance.
2.Enterprise Service Business: Strong understanding of the work flow and data flow of major healthcare insurerprocesses: especially claims and eligibility
3.EDI and Gateway Testing: Strong Businessknowledge on HIPAA 5010 EDI Transactions including Claims 835,837, Eligibility inquiry (270/271), Certification request (278), etc.
4. Benefits: Knowledge of Benefits Configuration and Validations, benefits setup, Accumulators function,logic, and Validation? in concept and as enabled within the platforms
5. Capitation: Knowledge ofcapitation and other value-based reimbursement incentive payments
6. Providers: Knowledge ofprovider network maintenance; contracting (pricing / Value Based Reimbursement)
7. Banking: Knowledge of EFTtransactions.
8 Knowledge of healthcare payerdata, especially as conceptualized in logical data models?hierarchical,relational, or dimensional

9. Knowledge of ETL processsteps Roles & Responsibilities:
Minimum Experience Required: 1-3 YEARS

Mandatory Skills: Business Analysis
Business Analysis

Desirable Skills:
Language Skills: English Language


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