Facets Claims Processing System Manual

  1. Prior to automation, the worker must take the claims from an excel sheet, and process them into the Facets application, and then save the claims using F3 and F4 keyboard shortcuts 02 PROCESSING Running the process with the Facets Screen open will trigger the robot to follow the same steps in the same way that a human worker would.
  2. Back to Internet-Only Manuals (IOMs) 100-04 Publication # 100-04. Medicare Claims Processing Manual. Processing Hospice Claims (PDF) Chapter 11 Crosswalk (PDF).
  3. Facets Testing is not one of the testing types. 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 activities are done.

Logic within the claims processing system that evaluates information on the claims. The following slides will dive deeper into the individual facets of the process outlined below. Life of a Claim. Claim Origination. Claim Adjudication. Manual and/ or the.

FACETS SYSTEM TESTER (FRONT END) (BBBH1180) Buffalo, New York

Facets Claims Processing System Manual

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

Tester must have experience with web testing

Cara download video torrent di android. Tester must be comfortable with ICD-9, CPT Codes and Rev Codes

Required Experience

Claims

Web testing

Facets

3-5 years test experience

Facets is a must. subscriber, member and provider modules

Hands on Facets Claims processing experience a must, experience creating test cases, experience reviewing requirements for testability, Quality Center experience preferred

System

Facets Claims Processing System

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.

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.

ITS and FEP is a plus. SQL Query is a plus.

Facets Claims Processing System Manual Instructions

PLEASE SEND WORD DOC RESUME, MOST COMPETITIVE RATE, AVAILABILITY AND

CURRENT LOCATION.

System

FACETS SYSTEM TESTER (FRONT END) (BBBH1180) Buffalo, New York

Facets Claims Processing System Manuals

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

Facets Claims Processing User Guide

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

Tester must have experience with web testing

Tester must be comfortable with ICD-9, CPT Codes and Rev Codes Archestra license manager guide.

Required Experience

Web testing

Facets

3-5 years test experience

Facets is a must. subscriber, member and provider modules

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. Ahnlab ci. black box, functional v. non-functional, defect reporting standards, how to reproduce test results.

Facets Claims Processing System Manually

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.

ITS and FEP is a plus. SQL Query is a plus.

Facets claims processing system manuals

PLEASE SEND WORD DOC RESUME, MOST COMPETITIVE RATE, AVAILABILITY AND

CURRENT LOCATION.