Associate III - BPM-E&B QA Analyst

About the role

E&B QA Analyst Role Summary The Enrollment & Billing (E&B) QA Analyst is responsible for independently auditing enrollment and billing transactions completed in TriZetto Facets. The role validates eligibility, member maintenance, 834 fallout resolution, billing reconciliation, payment reallocations, communications, and supporting documentation to ensure accuracy, completeness, procedural compliance, and defect prevention.

What you'll do

• Audit new enrollments, member additions, demographic changes, subgroup moves, removals, and terminations completed in TriZetto Facets
• Review corrections to fallout from employer portals, BenefitFocus Enrollment Center, reports, and 834 files
• Audit cash receipt review and subgroup reallocations recorded in TriZetto Facets
• Validate member-level reconciliation of billed and paid amount variances
• Review terminated-group balances, returned payments, COBRA-related reports, pending-claims reports, and other assigned billing work

What you need

• 3–5 yrs of experience
• Reconciliation
• Root cause analysis
• BCA or MCA or B.Tech or B.E. or B.Sc or M.Sc