Under the direction of the Manager, BSC Prod/Benefit Configuration, implements and maintains benefit configuration, payment rules, limit records and all product components on the Facets system, for all lines of business including customization of benefit designs. Investigates and provides solutions for daily production issues. Works to effectively apply creative solutions to enhance MVP business processes. Promotes initiatives for process improvement, innovative thinking, and re-engineering. Works to address system gaps, claims processing workarounds, modifications, customizations and enhancements. Implements and maintains employer group product and benefit configuration. Performs other duties as assigned.
Minimum Education:Degree in information technology, health care or business preferred. Equivalent education and related experience may be considered.
Minimum Experience: 3 years experience required in Healthcare Administration or Insurance field.
Working knowledge and understanding of CPT, CDT, HCPCs, ICD9/10-CM, and Revenue Codes
Knowledge of claims processing and/or benefit administration required
Knowledge of Microsoft applications required
Superior skills in process analysis, system documentation, and workflow definition
Strong skills required in critical thinking, problem analysis, verbal and written communication, interpersonal interactions (e.g. partnering, conflict management, consulting, mentoring) and team building required.
Must be comfortable working in a team environment as well as independently, and possess a sense of accountability and urgency in completing assignments.
Demonstrated customer service focus in delivery of quality products.
Knowledge of Facets configuration preferred
Experience with reporting tools, such as Business Objects, MS Access preferred
In order to be considered for this position, please apply online at www.mvphealthcare.com/jobs. MVP is an equal opportunity/affirmative action employer.
- 4 years ago - save job
MVP Health Plan covers about 650,000 most valuable people. Also known as MVP Health Care, the company provides health insurance and employee...