Contract Configuration Analyst

Position SummaryThe Configuration Analyst will be responsible for supporting all aspects of system configuration ensuring that all system configurations are programmed accurately for Authorizations and Claims.Responsibilities-dutiesConfigure rates based on provider contracts to ensure accurate payments of claims and capitations to providers.Configure rates based on vendor contracts to ensure accurate payments.Maintain system configuration based on data received from contractingAudit accuracy of Fee schedules in test environment prior to in-loading in productionAssign Fee Set Assignments by line of business or health plan codeProgram and audit Interest PaymentProgram and audit RBRVS Geographical AdjustmentApply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system as necessaryCoordinating with internal departments to resolve and assist with system related issues/buildsOther duties may be assigned by the Supervisor of Contract Configuration or Manager of Contract Configuration.Ability to handle fluctuating volumes of work and be able to prioritize work to meet deadlines and needs of user community.Education & Experience RequirementsMinimum 5 years' of administrative healthcare experience preferredHigh School Diploma or GED, some college preferredExperience with benefits and system configuration and interpretationMedical terminology, CPT, Revenue codes, ICD10, RBRVS, HCPCS, HIPPS code setsMust have experience with all lines of business, Medicare, Medi-Cal, and Commercial claims and know industry guidelinesKnowledge of software applications such as EZCAP is a plusMust be familiar with Microsoft Office (Word, Excel, Outlook, Microsoft, Access, SQL)Follow up on assignments, show initiative, be self-motivated, and have a strong work ethicPossess strong time management skills, including the ability to prioritize deadlines on multiple projects.Produce accurate and high-quality work on time and consistently.Individual should also demonstrate the ability to work with all levels of staff within AMMMust be highly organized and able to perform multiple tasks efficiently, be computer literateAbility to work in a fast-paced environmentStrong analytical skills and problem solving skills are necessaryMust obtain a positive attitude and have excellent communication skillsAmm BenefitsWhen you join AMM, you're not just getting a job"”you're getting a benefits package that puts YOU first:Health Coverage You Can Count On : Full employer-paid HMO and the option for a flexible PPO plan.Wellness Made Affordable : Discounted vision and dental premiums to help keep you healthy from head to toe.Smart Spending : FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.Work-Life Balance : Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.Career Development : Tuition reimbursement to support your education and growth.Team Fun : Paid company outings and lunches because we work hard, but we also know how to have fun!

Created: 2025-03-03