Claims and Benefits Analyst Job at Medasource, Michigan

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  • Medasource
  • Michigan

Job Description

Position Title: Certified Claims OR Certified Benefits consultant. (1 opening for each)

Location: Remote

Start Date: ASAP

End Date: At least on contract until August 2026 Go-Live, likely longer

Hours: 8-5 EST

Duties:

  • Support build and configuration of claims, benefits, prior authorization, and referral workflows in Epic Tapestry.
  • Assist in developing, executing, and documenting UAT scripts, ensuring business requirements are met and system functionality aligns with plan policies.
  • Validate benefit setup, contract loads, fee schedules, PA rules, and claims adjudication logic.
  • Collaborate with business analysts, project managers, IT, and operational SMEs to troubleshoot and resolve system issues during build and testing.
  • Participate in issue tracking, root cause analysis, and resolution using tools like ServiceNow, ChangeGear, or similar.
  • Provide guidance and expertise on Medicaid, Medicare, and Commercial health plan rules as they relate to claims and benefits processing.
  • Contribute to process documentation, training materials, and knowledge transfer for the operational teams.
  • Ensure regulatory compliance and adherence to project governance standards throughout build and UAT activities.

Job Tags

Contract work, Immediate start, Remote work,

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