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Benefits Configuration Analyst I

Company: Christus Health
Location: Irving
Posted on: June 14, 2019

Job Description:

DescriptionThe Configuration Benefit Analyst I will act as a liaison between the Auditing, Benefits Configuration and Provider Data Departments. The position will be responsible for supporting business initiatives through various administrative duties such as triage of incoming departmental communications, monitor marginal system updates, and operational reporting.MAJOR RESPONSIBILITIES



  • Follow department workflow procedures to ensure maximum efficiency
  • Meeting facilitation including preparation of meeting agendas, schedule maintenance, attendance documentation and distribution of minutes
  • Triage department email correspondence to the appropriate associate for review based on department assignments set by Supervisor, respond to work requests with estimated turnaround time parameters and continue to monitor any outstanding work requests to gauge appropriate follow-up communication
  • Triage Benefit Configuration department claims workgroup including auxiliary research to determine root cause, notation of escalated requests pended to each Benefit Analyst II for immediate completion
  • Targeted operational reporting, data collection and ad-hoc report creation as requested by management
  • Maintain quarterly Medically Unlikely Edits (MUE) limits as well as any other regulated CMS and DOD updates as identified by Supervisor
  • Create and maintain department policies
  • Other duties as assigned
  • Maintain communication with Benefits Analyst II associates regarding CMS or DOD regulatory updates to ensure system compliance


    Requirements

    A. Education/Skills



    • Associates Degree preferred but not required
    • Experience in the healthcare industry

      B. Experience


      • Understanding of ICD9-CM, ICD10, CPT-4, HCPCS codes
      • Prior experience working with TRICARE, Indigent Programs, Medicare Advantage, Health Care Exchange highly desirable.
      • Basic benefits and claims knowledge
      • Excellent communication and writing skills
      • Ability to handle and resolve issues with minimal assistance
      • Ability to perform multiple tasks simultaneously
      • Proficient in Microsoft Office

Keywords: Christus Health, Irving , Benefits Configuration Analyst I, Professions , Irving, Texas

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