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Claims Testing Analyst

Mason, OH 45040

Posted: 04/24/25 Employment Type: 9 Months Industry: Other Job Number: 14749211

Job Description

Work hours: 7 to 3:30 or 8 to 4:30 pm

Specific Skills Needed:
Top 3-5 mandatory and/or minimum requirements
• Experience in Claims or Data processing / testing.
• Intermediate Level knowledge of PCs and spreadsheet applications.
• Working knowledge of Claims Adjudication, Payments/Billing, and Data Reporting systems.
• Strong communication, problem solving, teamwork and organization skills.
• Strong analytical skills and critical thinking.
• Ability to work cross functionally.
• Ability to multitask and manage project timelines.

Top 3-5 desirable attributes/qualifications?
• Analysis experience.
• Knowledge of Oracle SQL and/or Business Objects/EDW.
• Knowledge of Facets
• Knowledge of SAP
• Highly motivated self-starter.
Required levels/ Years of Experience education – discuss whether there is flexibility Flexible

Reason for request Required to support multiple Medicaid implementations in parallel. Responsibilities to include creating test claims, validating results and working cross-functionally to ensure testing deliverables are met.

DATA ENTRY SCORES MUST BE LISTED AT THE TOP OF THE RESUMES. IF NOT, THEY WILL BE DECLINED

MUST BE ABLE TO TRAIN ONSITE Specific Skills Needed: 9,000 KSH data entry speed, data entry skills, basic excel skills, attention to detail, ability to prioritize, multi-task Years of Experience: 1+

Job Description: Validation of base data in test environment to ensure setup complete prior to commencement of testing efforts. Claims creation and validation for client testing requests and new client implementation. The Analyst will be the liaison to the Senior Analysts and Manager of the Claims Testing team to identify claims processing discrepancies due to system setup issues that require cross functional partnership and retesting. • Work with cross functional departments to ensure system is ready for testing scenarios to be keyed. • Validate the integrity of claims data in the  claims and payments UAT systems. • Track all testing defects and the status of the defect resolution through re-testing. • Analyze and document clear and concise testing results so there is a smooth transition to claims and payments production systems. • Maintain effective, on-going communication within Claims Testing Team and other key departments.

 MAJOR DUTIES AND RESPONSIBILITIES • Work with cross functional departments to ensure system is ready for testing scenarios to be keyed. • Validate the integrity of claims data in the claims and payments UAT systems. • Track all testing defects and the status of the defect resolution through re-testing. • Analyze and document clear and concise testing results so there is a smooth transition to claims and payments production systems. • Maintain effective, on-going communication within Claims Testing Team and other key departments

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About Mason, OH

Discover exciting job opportunities in and around Mason, Ohio today! Nestled in the vibrant state of Ohio, Mason offers a perfect blend of urban convenience and small-town charm. Known for being the home of Kings Island amusement park, the iconic Great Wolf Lodge, and the upscale Deerfield Towne Center, this region provides a unique backdrop for career growth and success. With a thriving arts scene, including the renowned Contemporary Arts Center in Cincinnati, and a love for sports showcased by the Cincinnati Reds and Cincinnati Bengals, Mason has something for everyone. Explore our job listings and take the next step towards a fulfilling career in this enchanting region!