Facets Configuration Specialist

6 days ago


Hyderabad, India Quess Corp Limited Full time
Job Title: Facets Lead

Experience: 5+ Years

Location: Hyderabad

- Collaborate with consulting team members to configure and test healthcare products using the FACETS tool.- Utilize knowledge of SQL, ICD 9 and 10 codes, HIPAA, EDI Transactions (270/271), Medicare & Medicaid, and commercial insurance plans to ensure accurate configuration.- Handle configuration of products using FACETS, as well as tools such as MS Excel, MS Access, MS Word, and MS SQL.- Work on projects involving Product Benefits configuration, PCA (Processing Control Agent), and EDI 270/271, Networks.- Experience with Facets 5.1 and 5.4 Application and SQL server, including Agreement configuration.- Configure products in EDI 270/271 tables, both frontend and backend, to match product benefits and ensure expected responses in 271 for inquiries made in 270.- Familiarity with facets modules including PDPD, PLDE, ACCM, PLDS, SERL, SETR, PCAG, SEPY, LTLT, DEDE, etc.- Knowledge of Networks configuration and testing.- Handle tickets for all types of issues as per client requests.

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