IT Healthcare Contract Claims Analyst Apply
- Review provider contracts, configure the terms and rates within the multiple claims pricing systems used to prices provider claims.
Describe the performance expectations/metrics for this individual and their team:
- Quality of 98% percent accuracy completed all assigned
- projects within 15-day TAT turnaround time.
Tell me about what their first day looks like:
- Overview of Pricing configuration teams, training on pricing applications.
What previous job titles or background work will in this role?
- Could vary refer to skills. Configuration Analyst, provider reimbursement specialty, experienced claim examiner
| Required Skills/Experience: | Intermediate to Advanced | Preferred Skills/ Experience: | Intermediate to Advanced | ||
| 1. | Experience and prior knowledge of provider contract terms | 1. | Knowledge of claim payment and adjudication | ||
| 2. | Industry standard coding, revenue, CPT, HCPCS, ICD10 codes | 2. | Experience with or knowledge of Medicare and or Medi-Cal rates. | ||
| 3. | Experience with system configuration/loading contract rates or loading benefits | 3. | Works independently, quick learner, self-driven, investigative, thorough, quality focused, collaborative, participatory in team settings | ||
