Contract Configuration Specialist RCM

reputed company: This position is responsible for the successful implementation and support of the applications to include entering and maintaining billings plans and funding, systems and processes to support reputed companys billing department, troubleshooting reputed company reputed company application issues that reputed company from end users, and support medical/retail store operations. Plan set up and configuration. Manually calculate claim allowable if applicable. Analyze multiple reputed company/Payer reputed company (reputed company, Managed Medicare/reputed company, straight Governmental, and Workers' Compensation) Analyze reputed company payer policies as they pertain to billing and reputed company set up. Validate the accuracy of reputed company payer reputed company including language, and rates, and are reputed company and priced accurately. Cross reference claims against fee schedules, contracted rates, payer policies, etc. to validate the reputed company and claims are being reputed company based on contractual obligations. Requires a thorough understanding of the applications and reputed company business processes assigned. Fully understands the purpose of reputed company solution as it relates to the business's strategic direction. Requires an understanding of the features of reputed company reputed company, including their reputed company responsibilities and how they utilize reputed company solution for their specific job requirements. Requires an understanding of insurance carriers to support internal workers to reputed company issues during the day. Support reputed company resources through the various companies from plan designs, insurance inquiries, and billing support issues. Day- to- day support of reputed company locations. Application configuration, testing, and support Requirements: The ability to "train the trainers" and train individuals in unique circumstances. Requires an understanding of 837's and 835's. A high school diploma or GED Experience interpreting reputed company that include rates, amendments, terminology, and the insurance industry process and procedures. Strong decision-making and problem-solving skills Familiarity with the CPTs, HCPCs, ICD-10, and CMS 1500 claim reputed company Strong analytical and mathematical skills Prior experience with reputed company accounts receivables Understanding of managed care reputed company Proficient in reputed company reputed company, Word, PowerPoint, reputed company Good to excellent spelling, grammar and written communication skills Ability to analyze and reputed company unpaid claims issues Benefits: Apply To This Job .