EHR Configuration Analyst – Claims

Terros Health
Published
December 1, 2020
Location
Phoenix, AZ
Job Type
Category

Description

 

 

Terros Health is pleased to share an exciting and rewarding opportunity for a EHR Configuration Analyst - Claims working at our Central Avenue location (possibility for remote in Arizona).  Reporting to the Manager of Finance & Configuration , the ideal individual is flexible, compassionate, and professional.  The Systems Analyst will possess a strong understanding of the revenue cycle workflow, be innovative, and enjoy a high level of interaction with others.

The work that we do in on our Accounting and Finance teams is one of the most important roles for the patients who utilize our services. Ensuring that we can collect on the revenue allows us to remain fiscally stable so that we can continue to serve our patients.  Along with great benefits, continuous training, and a welcoming environment, we offer the opportunity for you to grow in your career with Terros Health.

Job Summary:

  • Five (5) Years’ of Configuration Experience or a Combination of Claims Processing, Healthcare System Operations, Data Analytics and Configuration Experience
  • Working Knowledge of NextGen EHR/EPM Platform
  • Bachelor’s Degree Preferred;  Required - High School Diploma or Equivalent
  • Full-Time, Employed

***May Work Remote Full or Part Time - In Arizona***

Main Duties:

HER Configuration Analyst Duties Include:

  • Assists in the configuration and maintenance of the Practice Management Module in NextGen.
  • Assists in the creation and maintenance of price rules and fee schedules in coordination within state and federal guidelines and payer contracts.
  • Maintains the updates of all internal and external documentation related to claims configuration and policy changes
  • Fully supports internal audits and respond timely to any resulting action plans.
  • Assists in preparing and delivering reports, recommendations, and updates/revisions to address existing and potential issues in related processes across the organization.
  • Accountable for outstanding customer service to all external and internal customers.
  • Assists in the accurate and timely loading of the following (including annual updates): Payor contracts, Providers, Fee schedules, Code Set Mapping, and Specialized Rules and Alerts.

Education - Equivalent to five (5) years’ work experience in a health care or managed care environment with an emphasis on system configuration, claims processing, coding, and billing.

Bachelor’s degree preferred. Required:  High School diploma or equivalent.

Experience/Qualifications:

  • Five years of configuration experience or a combination of claims processing, healthcare system operations, data analytics and configuration experience
  • Bachelor’s degree preferred. Required:  High School diploma or equivalent.
  • Working knowledge of managed care operations, and claims billing systems
  • Working knowledge of the NextGen EHR/EPM platform
  • Develop and maintain an understanding of current payer and NextGen configuration rules, contracts, and policies
  • Analyze, configure, test, implement and maintain NextGen configuration rules, tables, logic, and resources to support compliance with payer contracts, billing and coding requirements, audit rules, and internal policies
  • Assist in the development and execution of test scenarios for configuration changes
  • Manage the timely resolution of open tickets and issues related to NextGen EPM configuration needs
  • Develop and monitor post-production audit reports to ensure the intent of NextGen EPM configuration related change and/or project requirements are met
  • Develop and maintain configuration documentation and communicate configuration processes, changes, and best practices
  • Research and respond to configuration related requests in a prompt and timely manner and update or build configuration to resolve identified issues
  • Develop and maintain good working relationships with the staff of other departments including Contracting, Claims, Finance, Practice Management and Compliance
  • Other projects and duties as assigned
  • This role is a non-driving position. This position is performed at one location and does not require travel to various Terros Health centers. May be 18 years of age and with less than two years’ driving experience or no driving experience.
  • Must have a valid Arizona Fingerprint Clearance card or apply for an Arizona fingerprint clearance card (Level 1) within 7 working days of assuming role.
  • Must pass a TB Test.

Link to website - https://www.terroshealth.org/careers/

Apply via the website: https://www.terroshealth.org/careers/

Apply
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