The Configuration Specialist is accountable for assisting in Configuration-related activities, responsible for maintenance and enhancement of system configuration and related database tables, documentation and support of PHC EDI related functions,testings, and assisting in documentation of changes to the system software configuration using a variety of computer software packages to meeting PHC needs.
SECONDARY DUTIES AND RESPONSIBILITIES
Education and Experience
Associates degree in related field preferred; Minimum two (2) years of healthcare claims examining experience. Experience with AMISYS Advance or other claims payment system, fee schedules, and procedure/diagnosis code tables preferred.
Special Skills, Licenses and Certifications
Knowledge of AMISYS Advance or similar claims payment system preferred. Understanding of claims processing requirements and ability to translate into systems change and reporting requirements preferred. Knowledge of Business Intelligence or other reporting software preferred.
Excellent analytical skills to rationally resolve simple to moderate policy and technical problems. Excellent written and oral communication skills. Ability to present statistical and technical data in a clear and understandable manner. Ability to articulate technical concepts with both technical and non-technical peers and trainers. Excellent organization skills to work on multiple assignments simultaneously, prioritize work, and complete projects within established time frames.
Work Environment And Physical Demands
Ability to use a computer keyboard. More than 80% of work time is spent in front of a computer monitor. May be required to lift, carry, and move objects of varying size, such as computer print-outs, weighing up to 10 lbs.
All HealthPlan employees are expected to:
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.