Configuration Specialist - Healthcare

Full Time
Phoenix, AZ 85012
Posted
Job description
Overview:

Terros Health is pleased to share an exciting and rewarding opportunity for a Configuration Specialist - Healthcare working at our Central Avenue location in Phoenix,AZ. Reporting to the Manager of Finance & Configuration , the ideal individual is flexible, compassionate and professional. The Systems Analyst will possess a strong understanding of the revenue cycle work-flow, be innovative, and enjoy a high level of interaction with others.


The work that we do in on our Accounting and Finance teams is one of the most important roles for the patients who utilize our services. Ensuring that we can collect on the revenue allows us to remain fiscally stable so that we can continue to serve our patients. Along with great benefits, continuous training and a welcoming environment, we offer the opportunity for you to grow in your career with Terros Health.


Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. For more than four decades, the heart of everything we do is inspiring change for life. We help people manage addiction and mental illness, provide primary medical care, restore families, support our veterans, and connect individuals to the care they need.


Recently awarded among
Arizona’s Most Admired Companies in 2022

Responsibilities:


Terros Health
is Hiring a Configuration Specialist at our Central Avenue location in Phoenix, AZ.

Five (5) Years’ Work Experience in a Health Care or Managed Care Environment

Emphasis on System Configuration, Claims Processing, Coding and Billing

At Least One (1) Year of Experience in NextGen Configuration Required

Bachelor’s Degree Preferred; Required - High School Diploma or Equivalent

Full-Time, Employed

Monday-Friday, 8am-5pm

No Weekends

Offering Excellent Salary


Configuration Specialist Duties Include:

  • Assists in the configuration and maintenance of the Practice Management Module in NextGen.
  • Assists in the creation and maintenance of price rules and fee schedules in coordination within state and federal guidelines and payer contracts.
  • Maintains the updates of all internal and external documentation related to claims configuration and policy changes
  • Fully supports internal audits and respond timely to any resulting action plans.
  • Assists in preparing and delivering reports, recommendations, and updates/revisions to address existing and potential issues in related processes across the organization.
  • Accountable for outstanding customer service to all external and internal customers.
  • Assists in the accurate and timely loading of the following (including annual updates): Payor contracts, Providers, Fee schedules, Code Set Mapping, and Specialized Rules and Alerts.

Benefits & Wellness
  • Multiple medical plans - including a no premium plan for employees and their families
  • Multiple dental plans - including orthodontia
  • Financial well-being - 401(k) with a company match, interest free medical line of credit, financial education, planning, and support
  • 4 Weeks of paid time off in the first year
  • Wellness program
  • Child Care Support Program
  • Pet Insurance
  • Group life and disability insurance
  • Employee Assistance Program for the Whole Family
  • Personal and family mental and physical health access
  • Professional growth & development - including scholarships, clinical supervision, and CEUs
  • Employee perks and discounts
    • Gym memberships
    • Tuition at GCU and University of Phoenix
    • Car rentals
  • Bilingual pay differential

Apply with your resume at
www.terroshealth.org

Qualifications:

  • Equivalent to five (5) years’ work experience in a health care or managed care environment
    with an emphasis on system configuration, claims processing, coding and billing.
  • Bachelor’s degree preferred. Required: High School diploma or equivalent.
  • Operational knowledge of provider contracts and related reimbursement mechanisms.
  • At Least One (1) Year of Experience in NextGen Configuration Required.
  • Experience with provider and contract configuration with the ability to analyze and translate data into useful information.
  • Understanding of industry standard code sets, government regulations as mandated by the regulatory agencies.
  • Analytical and quantitative skills to identify company impacts downstream as a result of invalid configuration.
  • Intermediate Microsoft Office experience with an emphasis on MS Excel and Access skills in order to manipulate and communicate data.
  • Highly organized with the ability to effectively manage multiple projects simultaneously.
  • Ability to work well independently.
  • This role is a non-driving position. This position is performed at one location and does not require travel to various Terros Health centers. May be 18 years of age and with less than two years’ driving experience or no driving experience.
  • Must have a valid Arizona Fingerprint Clearance card or apply for an Arizona fingerprint clearance card (Level 1) within 7 working days of assuming role.
  • Must pass a TB Test.
  • Must be in compliance with Terros Health’s policy for COVID-19 vaccination
Physical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

COVID 19 Precautions:
Terros Health remains open for all our patients’ health and wellness needs. We have put in place many protocols to protect our employees and patients and to create a safe work environment. Visit our website to learn more: https://www.terroshealth.org/covid-19/

At Terros Health we care about the safety of our employees and patients. We now require all new employees have the COVID 19 vaccine prior to establishing employment. This represents our commitment to stopping the spread of this disease and protecting our community. Thank you for helping to protect our employees and patients.

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