This is a remote contract position.
Benfit Analyst / Benefit Coder role is accountable for performing quality testing on benefit coding completed within the NPS benefit file, as well as to perform extensive NPS benefit file coding and support duties. This position will review NAEGs, Certs and Riders, and other benefit related documentation in order to build benefit coding requirements and test matrices, run test claims using tools such as NPS Electronic Error Correction (EEC), clarify requirements with internal and external sources, document and report quality results, make coding changes to the benefit file, and ensure that a high quality benefit code is moved into the system. Communicates with NASCO customers and Team leads on status of assignments in the performance of day to day testing.
Read benefit requirements documentation per Plan specifics
Interpret benefit requirements documentation
Create/update benefit coding in HRBK per requirements
If appropriate, minimally test change before sending to testing for review
Update source / tracking systems as required by Plan and NASCO
Proactively communicate status to team leader
5+ years Benefit Coding experience in HRBK is required