Medicare / Medi-Cal Configuration and Integration Analyst - Claims / Pricing
2 weeks ago
We have 12-month contract to hire position open for an Medi-Cale/Medicare Operations Configuration and Integration Analyst position. The candidate needs to have a strong background with Medi-Cale (preferred) or Medicare, claims, pricing, provider contracts, Industry standard coding, revenue, CPT, HCPCS, ICD-10. Must have a background with claims payments and adjudication. Must have a background with Medi-Cale rates (preferred) or Medicare rates.
The position is doing systems configuration/loading for contract rates and loading the benefits.
Candidates should be in pacific time zone as this is the working hours
Day to day responsibilities:
- Review provider contracts, configure the terms and rates within the multiple claims pricing systems used to prices provider claims.
- Quality of 98% percent accuracy completed all assigned
- projects within 15-day TAT turnaround time.
- Overview of Pricing configuration teams, training on pricing applications.
- Could vary refer to skills. Configuration Analyst, provider reimbursement specialty, experienced claim examiner
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