This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

Are you someone with a background in claims processing, medical billing or coding looking to advance your career? Medical Associates Health Plans is hiring a detail-oriented Configuration Analyst to join their team! This position will configure and maintain claims adjudication subsystems as necessary to maximize accuracy and efficiency of claims payment along with maintenance of non-core business systems (HIPAA, EDI web portal, etc.)

Schedule:

• General business hours Monday-Friday with flexibility.
• This position has the opportunity to work remote after training!

Qualifications

• Three years to five years of similar or related experience.
• Analytical experience required.
• Claims experience preferred.
• Equivalent to a high school education.

Requirements

• Research and implement process to improve information subsystems to ensure maximum efficiency of the Health Plan core business system (claims system) and non-core business systems (HIPAA EDI and web tools).
• Responsible for configuration, testing and maintenance of subsystems; with proficiency in three or more subsystems.
• Guide, train and advise business users and team members along with assistance in problem resolution.
• Perform simple and complex analytical duties for claims, EDI and web tools upon request.
• Prepare documentation for assigned area of responsibility.
• Complete all other assigned projects and duties.

Benefits

• Single or Family Health Insurance with discounted premium rates for wellness program participation.
• 401k with immediate matching (50% on the dollar up to 7% of pay) + additional annual Profit Sharing.
• Flexible Paid Time Off Program (24 days off/year).
• Medical and Dependent Care Flex Spending Accounts.
• Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.

Company Description