Configuration Specialist – Healthcare

Terros Health
Published
December 2, 2020
Location
Phoenix, AZ
Job Type
Category

Description

 

 

Terros Health is pleased to share an exciting and rewarding opportunity for a Configuration Specialist - Healthcare working at our Central Avenue location.  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.

Location - Phoenix, AZ (27th Avenue Health Center)

Main Duties:

Configuration Specialist 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:

  • Operational knowledge of provider contracts and related reimbursement mechanisms.
  • At Least One (1) Year of Experience in NextGen Configuration Required.
  • Experience with provider and contract configuration with the ability to analyze and translate data into useful information.
  • Understanding of industry standard code sets, government regulations as mandated by the regulatory agencies.
  • Analytical and quantitative skills to identify company impacts downstream as a result of invalid configuration.
  • Intermediate Microsoft Office experience with an emphasis on MS Excel and Access skills in order to manipulate and communicate data.
  • Highly organized with the ability to effectively manage multiple projects simultaneously.
  • Ability to work well independently.
  • 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
Drop files here browse files ...

Related Jobs

Payroll and Procurement Specialist   85007, Phoenix new
January 14, 2021
Community Health Worker   85007, Phoenix new
January 14, 2021
LPN   85007, Phoenix new
January 14, 2021
Registered Nurse   85007, Phoenix new
January 14, 2021
Pharmacist   Safford, AZ new
January 14, 2021
Are you sure you want to delete this file?
/