Contract Configuration Analyst I

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Contract Configuration Analyst I Full Time Clerical Long Beach, CA, US 30+ days ago Requisition ID: 1116 Salary Range: $22.00 To $30.00 Hourly POSITION SUMMARY The Configuration Analyst I will be responsible for supporting all aspects of system configuration ensuring that all system configurations are programmed accurately for Authorizations and Claims. RESPONSIBILITIES-DUTIES Configure rates based on provider contracts to ensure accurate payments of claims and capitations to providers. Configure rates based on vendor contracts to ensure accurate payments. Maintain system configuration based on data received from contracting. Audit accuracy of Fee schedules in test environment prior to in-loading in production. Assign Fee Set Assignments by line of business or health plan code. Program and audit Interest Payment. Program and audit RBRVS Geographical Adjustment. Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system as necessary. Coordinating with internal departments to resolve and assist with system related issues/builds. Other duties may be assigned by the Supervisor of Contract Configuration or Manager of Contract Configuration. Ability to handle fluctuating volumes of work and be able to prioritize work to meet deadlines and needs of user community. EDUCATION & EXPERIENCE REQUIREMENTS Minimum 5 years’ of administrative healthcare experience preferred. High School Diploma or GED, some college preferred. Experience with benefits and system configuration and interpretation. Medical terminology, CPT, Revenue codes, ICD10, RBRVS, HCPCS, HIPPS code sets. Must have experience with all lines of business, Medicare, Medi-Cal, and Commercial claims and know industry guidelines. Knowledge of software applications such as EZCAP is a plus. Must be familiar with Microsoft Office (Word, Excel, Outlook, Microsoft, Access, SQL). Follow up on assignments, show initiative, be self-motivated, and have a strong work ethic. Possess strong time management skills, including the ability to prioritize deadlines on multiple projects. Produce accurate and high-quality work on time and consistently. Individual should also demonstrate the ability to work with all levels of staff within AMM. Must be highly organized and able to perform multiple tasks efficiently, be computer literate. Ability to work in a fast-paced environment. Strong analytical skills and problem solving skills are necessary. Must obtain a positive attitude and have excellent communication skills. AMM BENEFITS When you join AMM, you’re not just getting a job—you’re getting a benefits package that puts YOU first: Health Coverage You Can Count On : Full employer-paid HMO and the option for a flexible PPO plan . Wellness Made Affordable : Discounted vision and dental premiums to help keep you healthy from head to toe. Smart Spending : FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future. Work-Life Balance : Generous PTO , 40 hours of sick pay , and 13 paid holidays to enjoy life outside of work. Career Development : Tuition reimbursement to support your education and growth. Team Fun : Paid company outings and lunches because we work hard, but we also know how to have fun! #J-18808-Ljbffr