Configuration Technician
NAMM North America Medical Management - Ontario, CA

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RESPONSIBLE FOR MANAGING UPDATES IN THE CLAIMS ADMINISTRATION SYSTEM. INCLUDES PROVIDER, ANCILLARY, HEALTH PLAN CONTRACTS AND MEMBER HEALTH PLAN BENEFIT INTERPRETATION AND SYSTEM CONFIGURATION

Responsibilities:
INTERPRET PROVIDER AND ANCILLARY CONTRACTS, INTERPRET MEMBER HEALTH PLAN BENEFITS, CONFIGURE NECESSARY ADDITIONS, CHANGES AND DELETIONS TO NEW AND EXISTING CONFIGURATION DESIGN. PERFORM DATA ENTRY INTO CLAIMS MANAGEMENT SOFTWARE AND OTHER MICROSOFT APPLICATIONS (ACCESS, EXCEL, ETC.).

Qualifications:
KNOWLEDGE OF MANAGED CARE CLAIMS PROCESSING, KNOWLEDGE OF HEALTH PLAN MEMBER BENEFITS, KNOWLEDGE OF MEDICARE GUIDELINES AND REIMBURSEMENT METHODS, KNOWLEDGE OF CPT, ICD-9 HCPCS AND REVENUE CODES, STRONG ORGANIZATIONAL AND PRIORITIZATION SKILLS.

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NAMM North America Medical Management - 30+ days ago - save job - block
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