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QNXT / Claim / Payers / NetworX Consultants available for fulltime and Contract position

Hi,
 
Very Good Afternoon to you .
 
Hope you are doing good today . So we have available consultants for QNXT / Claim / Payers Consultants available for fulltime and Contract positions.
 
We use to help our client to get them resources on Fulltime / w2 / Contract positions. Also we are good with one time referral positions and fixed referrals for consulting roles .
 
Few of our available consultants expertise are given below :
 
Name
Skill Set
Anika
 
Configuration Management: QNXT expert for contracts, benefits, claims finance codes, and fee tables.
Health Information Systems: Proficient in AHCCCS rates, 835 payments, and claims validation.
Awaneesh
Healthcare QA: 11+ years in Healthcare Facets QA. Expert in SDLC, STLC, and Agile methodologies
Rios
Business Analysis:
  • Requirements gathering for tech initiatives.
  • Analyzing operational implications.
Healthcare Configuration:
  • Configuring Health Rules in Benefits Plans.
  • Creating test strategies for system changes.
Latricia
Claims Management:
  • Over 20 years of experience in healthcare insurance.
  • Proficient in claims processing, adjudication, and auditing.
System Proficiency:
  • Expertise in QNXT, EZ-Cap, Facets, ClaimsXten, and NetworX Pricer.
  • Familiarity with PPO, HMO, TPA, Medicaid, Medicare, and Marketplace.
Rachel
Healthcare CMS Proficiency:
  • 17+ years of expertise in Agile, JIRA, SharePoint, and Confluence.
  • Extensive knowledge of claims processing and systems.
System and Tools Knowledge:
  • Proficient in TriZetto FACETS, MACESS, Amisys, and QNXT.
  • Familiarity with SDLC methodologies and various healthcare domains.
EDI and Healthcare Terminology:
  • Expertise in EDI 837, 835 formats and HIPAA Transaction rules.
  • In-depth knowledge of healthcare terminologies
System Configuration:
  • TriZetto FACETS configuration, including Provider maintenance.
  • Knowledge of DRG and APC methods in healthcare.
Thanks & regards,
Saurabh Srivastava,
Office : 415-636-7355 , Cell : 206-426-6360
ssrivastava@theadvantra.com” data-linkindex=”0″ style=”margin: 0px;”>ssrivastava@theadvantra.com

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