Monster
 
 

Job Summary

Company
Beacon Partners, Inc.
Location
Multiple locations
Industries
Healthcare Services
Job Type
Full Time
Employee
Years of Experience
2+ to 5 Years
Education Level
Bachelor's Degree
Career Level
Experienced (Non-Manager)

Consultant, GE Claim Form Logic

About the Job









Beacon Partners is one of the fastest growing privately held healthcare management consulting firms in North America. Recognition for Beacon Partners’ growth initiatives is evidenced by our being named to Inc. magazine’s list of the 5,000 fastest growing private companies in America for three years running, and as a 2008 “Pacesetter” by the Boston Business Journal. Focused on the client experience and backed by decades of healthcare industry knowledge, Beacon Partners is the only firm in the industry that provides a satisfaction guarantee for all its services.


Job Responsibilities
This Consultant position, within the GE/IDX Practice, will be focused on providing services related to GE Centricity and Claim Form Logic. The Consultant is responsible for providing high-level consulting to our hospital and academic medical center clients.

Interact effectively within a Physician Practice environment to assess current Claim and third party billing process and integrate new physician practice groups. Collect and translate departmental needs and issues into in order to design and build most effective system design and process flow. Understands and applies EDI tool kit, z-claim logic, 837/835 transaction sets and third party payer rules within system logic and workflow. Work in conjunction with client and Beacon staff on changes within the larger scope of the engagement. Completes system integration testing and go live support.

Consults with client to define solutions to needs or problem areas, and determines scope of investigation required to obtain solution. Solutions may include installation of alternate methods and procedures, changes in methods and practices, or redesign of products or services.

Prepares written deliverables for client and Beacon management as defined in project scope, while complying with engagement standards, status report submission procedures, deadlines, and client folder specifications/requirements.

Other engagement specific responsibilities may include IT planning and needs assessments, system selection and implementation, project management, upgrade coordination and testing, custom programming, application support, design or build, interim management, business operational analysis and work flow redesign.

Maintains at least 85% billable utilization rate.


Qualifications


Must possess the ability to understand the integration of applications and their impact on business process and operations. Must be able to work effectively with all levels of clients’ staff. Must be forward thinking, able to meet project deadlines, possess high level of energy and professional acumen, and be client service oriented. Must be able to work independently or as part of a team. Must exhibit a dedication to quality, reliability and resourcefulness.

Excellent attention to detail, organizational, listening, and verbal and written communication skills are required. Ability to take initiative, advise clients on alternate methods of solving problems, or recommend specific solutions. Creativity and excellent presentation skills are an asset. Must have the ability to anticipate problems and visualize solutions on a proactive basis.

High level of proficiency required within the MS Office Professional Suite: Word, Excel and Powerpoint. 

Education and/or Experience 
Two plus experience with Claim Form Logic. Applicable knowledge of EDI tool kit and z-claim logic. Detailed knowledge of 837/835 transaction sets and Appointment Types, Sets and Rules. Detailed knowledge in unit and system integration testing.

Minimum of 3 - 5 years’ experience working in a position of a health care provider, organization, vendor or another consulting firm is required; specifically with project management, implementations, system support, business operations analysis or work flow redesign.
Bachelor's degree from four-year college or university or equivalent combination of education and experience.


 


 


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For more information please go to WWW.BEACONPARTNERS.COM


 



 
 

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Beacon Partners, Inc.