Configuration Analyst I - Provider
About The Position
Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths. Participate in the identification and implementation of solutions, which results in efficient, accurate, and quality configuration, and maintenance of Facets. Ensure timely configuration and implementation of selected solutions as directed by your trainer or mentor within your FBS team. Accountable for complying with all laws and regulations that are associated with assigned duties and responsibilities.
Requirements
- Minimum two years of relevant experience in health plan environments with at least one year experience with benefit plan administration required.
- Proficiency in Microsoft systems Outlook, Excel and Word.
- Strong analytical and problem solving skills.
- Excellent interpersonal skills including verbal and written communication.
- Ability to work collaboratively as a team with little supervision.
- Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork
Nice To Haves
- Experience working with Facets is preferred.
- BA/BS degree or ICD-10, CPT, HCPC coding knowledge preferred.
- Experience in database systems of Access and/or SQL also preferred.
Responsibilities
- Assist with design of new configuration to support business needs and functionality.
- Accurately update, implement and test configuration changes as assigned by trainer.
- Assist with analyzing business requirements, test plans, training materials and procedure documents.
- Assist with executing test plans and test case scenarios to ensure requirements are being met.
- Participate in development of detail design and system walk through with respective teams to verify design and solution meet business and system requirements.
- Assist and work with business areas for the review of all reported system defects.
- Monitor, research, and resolve provider or pricing related ServiceNow tickets designated for a Configuration Analyst I. These include adding new provider types, specialties, IPA’s, terminating agreement ID’s, running basic queries and others as assigned by trainer.
- Assist with diagnosing and resolving system configuration problems. Begin to understand troubleshooting techniques and methods at a fundamental level.
- Responsible for quality assurance tasks. Double check your work to ensure accuracy.
- Develop an understanding of Facets Batch Logs, with the ability to troubleshoot issues as needed
- Process, troubleshoot and resolve claims in the FBS Provider claims queue in a timely manner to satisfy turnaround time requirements.
- Configure the standard provider agreements in NetworX.
- Assist in loading fee schedules as needed.
- Maintain Modeler database as needed.
- Support in special projects as assigned.
- Interact with business leaders and users, including external partners and customers as required.
- Maintain professional, service oriented relationships.
- Demonstrate ability to organize and prioritize work.
- Meet department and company performance and attendance expectations.
- Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
- Perform other duties as assigned.
Benefits
- Flexible telecommute policy, medical, vision, and dental insurance, incentive program, paid time off and holidays, 401(k) plan, volunteer opportunities, tuition reimbursement and training, life insurance, and options such as a flexible spending account.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
Number of Employees
501-1,000 employees
