Configuration Analyst - Pulse Staffing
Houston, TX 77401
About the Job
2 years of managed care, claims processing, and/or configuration • Analyzes incoming requests and designs configuration solutions to meet business requirements. |
• Performs configuration changes for coding, contracts, benefits, fee schedules and claim editing rules as needed. |
• Creates testing scenarios to demonstrate efficiency of proposed configuration solutions. |
• Maintains thorough and concise documentation for tracking of all contract, benefit, fee schedule and claim editing rule changes related to Change Control Management or issues for quality audit purposes. |
• Executes configuration changes in an accurate and timely manner to meet the department’s standards for quality andservice level agreements.. |
• Assists with the development of configuration standards and best practices. |
• Identifies claims impacted by configuration changes done in the system and sends reports to the claims administration department for reprocessing. |
Hybrid -M-F (8-5)
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