QicLink Specialist
Allied Benefit Systems, LLC, United States
Job Description
Job Title: Qiclink Specialist/Analyst
Department: Claim Operations
FLSA Status: Exempt
Job Status: FT
Reports To: Project Manager
Positions Supervised: None
Work Schedule: M-F, Flexible Work hours
Assessments: Predictive Index Behavioral and Cognitive assessments
POSITION SUMMARY:
The Qiclink Specialist/Analyst is responsible for loading and maintaining Qiclink coding, creating audit reports, mass updates for the coding team, and any other tasks related to Qiclink. The Qiclink Specialist/Analyst will work both independently and within team settings to design efficient, clear, and concise tools to improve accuracy and production across all departments.
ESSENTIAL FUNCTIONS:
- Responsible for loading and maintaining all CPT, dental, HCPC’s, anesthesia and ICD10 codes into Qiclink.
- Assisting plan coding with mass updates due to updates or plan changes utilizing SQL.
- Coordinating renewals with plan coding and claims.
- Developing audit reports utilizing SQL
- Creating audit tools
POSITION QUALIFICATIONS:
Accountable Follows through in all areas; accepts and delivers on responsibilities, requires others to follow through on commitments.
Analytical Takes action in an analytical, methodical and process oriented way, being able to determine essential features and their relations to one another in order to produce, resolve or enhance processes.
Collaborative Works effectively with others to accomplish goals.
Communicator Proactively conveys a clear, convincing and timely message; possesses strong verbal, written and presentation skills.
Innovative Generates new idea and solutions from self and others.
Quality Conscious Delivers accuracy and precision in work products; mindful of technical requirements, rules and standards.
Problem Solver Uses data and logic to quickly find solutions to difficult challenges
Resourceful Knows how to get what is needed; manages time and workloads for maximum efficiency.
Results-Driven Achievement-oriented; achieves and exceeds goals; pushes self and others for results.
Sense of Urgency Meets deadlines, establishes appropriate priority, and gets the job done in a timely manner.
Teamwork Accountable to team, works to meet established deliverables, appreciates view of team members, respectful.
Technology Skills Skilled with computers, takes advantage of new technology, learns new tools quickly, and uses technology to enhance.
Time-Wise Prioritizes; respects others’ time; adheres to schedules and agendas.
SKILLS amp; ABILITIES (List specific skills and levels required, i.e. Word, Excel intermediate)
- Microsoft office, including but not limited to Word, Excel, PowerPoint
- Advanced knowledge and understanding of structured query language (SQL) for reporting purposes
Experience
- Advanced knowledge of Microsoft Excel, Access and other data reporting and manipulation tools
- Strong experience and knowledge of health care, particularly on the payer/insurance side
- Experience with relational database systems such as Microsoft SQL Server, Oracle, MySQL, etc.
- Qiclink Plan Coding
Education
High School Diploma, College and Advanced Degrees preferred but not required.
PHYSICAL DEMANDS Sedentary work that primarily involves sitting with repeat movements.
WORK ENVIRONMENT - Virtual