benefit analyst
$25-50 USD / orë
Providers use the AHIN system to check eligibility and to verify the benefits, deductibles, co-insurance etc. for specific service types that members have based on their medical plan. Each contract has benefit details that are somewhat unique based on the preferences of the employer within the guidelines of our health insurance laws and regulations.
The benefit intricacies of each plan are detailed in the Benefit Summary for each employer contract. AMISYS Benefits are coded to ensure that claims are processed and reimbursed correctly. We also use the AMISYS benefits to generate the AHIN display via a series of jobs and programs that use benefit selection criteria to pull a sample of benefits that will generate the AHIN display. The theory behind the process is to generate the AHIN display for each service type by pulling generic benefits from every benefit package.
ID Projekti: #15570974
Rreth projektit
9 profesionistë freelancer dërguan një ofertë mesatare prej $37/orë për këtë punë
Hi I would like to show you a demo first BEFORE starting the actual work. Let's discuss the details of this project. I will start as a FREE, I can deliver some parts of the project to you, once you are satisfied wit Më shumë
Extensive experience of testing of software results. Relevant Skills and Experience Have extensive experience in data analytics.
Have worked in US medical billing and has done hands on benefits verification. So will be able review and understand the benefits better.
I was able to experience Customer Service for almost 2 years assisting US healthcare providers in an international health insurance providing eligibility, benefits and claim status.