Liberty mutual employee benefits package 16 . Decrease demands on specialty IT resources. Leverage the power of next-generation technologies to build a stronger, agile business. In addition, Claim Test Pro provides a comprehensive set of testing suites that provide for more diverse testing schemas, enabling testing of a multitude of provider reimbursement scenarios. This easy to use web interface was built from the ground up based on extensive feedback from testing teams across various health plans. Choc hospital orange county ca 15 . The tool provides a controlled, managed process for keeping configuration data in sync among environments such as training, development and production. • Developed customized small and large group rating system and automated rate upload to FACETS, • Product Benefit configuration and testing Inserting intelligence into enrollment processing. Provide audit-ready capabilities for your Facets security management. Reduce the risk of exposing PHI that occurs when production data is simply copied into non-production data bases for testing. Agile Health Technologies Inc. is a healthcare information technology company offering specialized business and technology solutions and services in product areas such as FACETS and QNXT for our Health Plan clients. Top Industries that use Trizetto Facets. We help set up the agreements and conduct user acceptance testing on their behalf. Save 15% when you sign up before April 4, 2021. We number the facets in the way that is best for our own thoughts, and best for us to tell other people what we have discovered. Facets is a healthcare tool which is used to process medical and hospital or facility claims. We also help in their overpayment recovery process and corrections. • Implemented Prime PBM with real time accumulator update to and from FACETS. • PBM Integration both real time and batch FACETS Healthcare Technology, We located in Naperville, IL and Bangalore, India; provides the perfect mix of onshore – offsite team composition managed through our robust RMO and project delivery which is managed by the PMO process. • Enhancements and Extensions Claim Test Pro can help you: When making and managing system configuration changes, it is critical that payers continually test in order to validate the integrity of the changes and to ensure that new configuration items are production-ready. Before adding new functions, changing system configurations or design, it is important to test all changes in a way that keeps health information fully protected. That’s why your digital presence matters, so you can offer services to meet their needs wherever they are. Judges + Facet 2. • External claims and accumulator updates Using Test Data Generator for Facets, healthcare organizations can: Establishing control over non-production data. FACETS system, while reducing operational cost by 30% or more and With Claim Test Pro, you can test claims data efficiently and cost effectively and verify with confidence that correct claim totals are being paid. Agile Health Technologies’ FACETS Center of Excellence in blended-shore The ideal candidate will possess detailed knowledge of Facets Workflow Tool, claims, and enrollment. The Security Management Tool for Facets can help: Configure and manage claims processing rules and qualifiers. • Pricing and Agreements – We specialize in Managing provider pricing and Network configuration. Facets Tester ( Quality Analyst ) Interview Questions Facets is a healthcare claims processing tool from Trizetto company. Brush cutter attachment for weedeater 19 . Facets Testing explained Facets Testing is not one of the testing types. The toolkit increases the auto-enrollment success rate by intelligently managing the data receipt and correction process for enrollment records. But it is purely and most of the time, a type of manual testing which is done on Facets tool that is being used for claims processing and other healthcare insurance company day to day activiti es are done. The digital interactions happening beyond your industry shape patients’ and members’ expectations. I used FACETS as a tool during my CNA programs. Billing reconciliation and Broker Commission processing. • FACETS Consumer Directed Health (CDH) • HIPAA Gateway implementation, Provider and Network  Management  – We at Agile help our Clients manage their annual Provider and network assignment along. Within this site you will find bass lessons electronic contact addresses (of my employer that I … • Automated the billing receipt and premium reconciliation process • Integrating external applications such as Claims Xtend, ClearCoverage, Care Advance etc. • FACETS Implementation and Upgrades Our model offers the unique blend of Knowledge and flexibility which can assist Clients in their operation and increase savings. The Facets tool opens to show the "Themes" facet. The Configuration Migration Utility for Facets helps control, manage and successfully execute configuration promotions. The result is size-controlled data sets of randomized non-production data. The solution automates many processes that previously were done manually, helping plans increase administrative efficiencies by reducing the resources needed to manage these initiatives. Services that offer meaningful business outcomes. These features ensure that data is correct and validated before it is submitted to Facets and the records are consistent in form and content. We are looking for a Sr. Don't have an account? Projé has an exciting opportunity for a full-time Senior Business Analyst.This will be a remote position.The Senior Business Analyst will need expert knowledge in Cognizant's Facets Workflow Tool to assist in the implementation of this modular add-on.This position will require assessment, analysis, testing and requirements gathering and documentation processes for Health Plan operations. It can be quite complicated to manage and map complex claims processing rules and qualifiers used by various benefits plans. • Medicare Management / EAM implementation • NetworX Pricing configuration and FEE Schedule loading Facets Configuration Analyst who is a SME in Benefit Configuration. HealthRules solutions allow health plans to control administrative costs with maximum efficiency, lower healthcare costs and maximize revenue while embracing new business models. We were able to access FACETS not only at school, but at home in our free time as well. It gives non-healthcare IT personnel the ability to migrate specific aspects of configuration changes from environment to environment in a manner that is controlled, workflow-integrated and audit-capable. We also perform validation for Configuration changes, Productions Incidents and new changes. EDI 4010 & 5010 Transactions 834, 270, 271, 837 (P, I, D), 835, 276, 277, 278(I/O) Facets Workflow process, FXI and XC/XMS staging DB knowledge. We also perform validation for Configuration changes, Productions Incidents and new changes. We help our Clients in configuration and benefits validation using our proprietary benefit testing Tool BenefitPro or Client specific tools. FACETS Healthcare – At Agile, our highly skilled FACETS experts are helping our clients in utilizing the fullest potential of the FACETS system through seamless integration, configuration, extensions, upgrades and testing through our blended-shore FACETS Center of Excellence. Watch FACETS screenings from the safety of your home. TECHNICAL SKILLS: Applications: TriZetto Facets 4.51 to 5.20, MEET, EDIFECS, Mainframes TSO/ISPF. • Production support and batch operation, • Developed the integration and SOA components for a large health plan using FACETS. Healthcare Automation Testing Tool – The Benefits testing tool was designed and developed by our core health care team based on their real-world experience over the past 10 years involving benefit testing. Donate today to help us reach our $30,000 goal. ... A Bachelor's degree in Healthcare Administration or a related field is required. Audit-ready management of security profiles. We configure agreements and pricing and validate the pricing using custom reports and Claim Processing. • Group rating systems automation and rate upload The Supplemental Mapping Management (SMM) Tool for Facets solves these problems, managing interdependencies within the supplemental mapping and automating the researching, editing and auditing process for configuration data. • Automated Enrollment The knowledge tests pull together what the students have seen and make them think about the important points to hit for successful final testing. Enrolment and Billing – Our Services include Validation of new enrolment process and systems, annual rate validation and specimen billing validation. Responsibilities of Healthcare tester manual Facets Testing. However, like any enterprise product, from implementation to operation and production support, it requires configurations, customizations, extensions and interfaces to meet the client-specific business requirements. Test Data Generator creates non-production data sets of both transactional and configuration data, allowing healthcare organizations to test possible changes before implementing them. Reduce the amount of time required to research, review, analyze, load and make configuration changes, without the expense of additional staff. Configuration and Benefits Management – Every year Health Plans roll out new products and changes. It’s also the reason why Alliance is the partner of choice for hospitals, physicians, and other healthcare providers to whom we offer the latest oncology technologies and care…Documents and communicates all facets of the treatment plan to the treatment team, and assures that the appropriate documentation is placed in the patient’s chart… Facets Eco Systems and its integration with Core Facets in various clients. • Complete plan / product benefit testing for a large health plan Facet 1 is usually the facet that is most important to us. 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