- What Is Facets Claims Processing
- Facets Claims Application Overview
- Facets Claims Processing System Manual Download
- Facets Claims Processing System
- Facets Claims Processing User Guide
- Facets (Trizetto Claims processing system) provides several functionality which is supported under the application group or you can call modules.It helps the organizations to perform their day to day operational work by utilizing any or all of the application groups. ELearningLine: Healthcare FACETS System.
- Sierra/Facets 2.81 Training Manual Facets Overview and Navigation. Claims Processing Electronic Claims. Providers who want to submit claims electronically - whether through a clearinghouse, with software obtained from an approved vendor, or through Provider Electronic Solutions software - must complete an online Trading Partner Agreement Application in the Healthcare Portal.
Facets Claims Processing System Manual mercedes a 170 v service manual instructor led healthcare domain, facets, qnxt and 450 manual facets claims processing user guide documents - manual health claims processing in the us - tm floyd & at20 claims processing system trizetto mercury 50 elo manual facets claims user manual priority downloads. Medicare Claims Processing Manual. Chapter 1 - General Billing Requirements. Table of Contents (Rev. 10236, 07-31-20) Transmittals for Chapter 1. 01 - Foreword 01.1 - Remittance Advice Coding Used in this Manual 02 - Formats for Submitting Claims to Medicare 02.1 - Electronic Submission Requirements 02.1.1 - HIPAA Standards for Claims.
FACETS SYSTEM TESTER (FRONT END) (BBBH1180) Buffalo, New York
Job Description
OPL SI and Smart Pend Project (2 Needed: Systems Testers: Facets)
Aside from what has been identified for the Facets 4.71 upgrade
Testers will be shared across multiple projects, must be able to prioritize workload and handle multiple projects
Tester must understand and have hands on experience with claims and adjustment workflow in Facets
Tester should have experience in Other Party Liabiltiy workflow
Tester should have experience with membership and eligibility in Facets
What Is Facets Claims Processing
Tester must have experience with web testing
Tester must be comfortable with ICD-9, CPT Codes and Rev Codes
Required Experience
Web testing
Facets
3-5 years test experience
Facets Claims Application Overview
Facets is a must. subscriber, member and provider modules
Facets Claims Processing System Manual Download
Hands on Facets Claims processing experience a must, experience creating test cases, experience reviewing requirements for testability, Quality Center experience preferred
Must have knowledge of the following: white box v. black box, functional v. non-functional, defect reporting standards, how to reproduce test results.
the hands-on Facets claims knowledge must include experience with: to manipulate and adjudicate claims by changing or adding procedure codes, modify pricing, adding overrides. Able to fully navigate Facets. Familiar with claims adjudication process. Able to locate membership or claims in Facets to meet specified criteria for testing. Thorough knowledge of the claims lifecycle.
Facets Claims Processing System
Able to troubleshoot test failures. Able to create manual test cases. Monitor defects and review for root cause analysis. Must have experience with HP Quality Center. Able to manually create test data by creating a claim and an adjustment using the Claims Module.
Facets Claims Processing User Guide
ITS and FEP is a plus. SQL Query is a plus.
PLEASE SEND WORD DOC RESUME, MOST COMPETITIVE RATE, AVAILABILITY AND
CURRENT LOCATION.