Configuration Specialist Insurance - Salt Lake City, UT at Geebo

Configuration Specialist

Job Description
Become part of EMI Health s growing organization. EMI Health is an employee benefits firm providing great insurance products to companies and individuals in Utah, Arizona and Texas. We provide our employees with an outstanding benefit package that includes paid time off and holiday pay. We also offer medical, dental, vision, life, disability and retirement savings plans.
Under the direction of the MBS Assistant VP, the Configuration Specialist is responsible for the configuration of EMI s claim payment system to insure the correct payment of claims.
This is a full-time non-exempt position. Hours are generally 8:
00 a.m. to 5:
00 p.m. Monday through Friday.
EMI Health is an EEO employer as defined by the EEOC.
EMI Health is a smoke free work place. Hiring non-smokers only.
Responsibilities
-Configures EMI s claim payment system by creating or updating system logic.
-Creates or updates group plans designs including, but not limited to, deductibles, copays, out-of-pocket maximums, COB information, covered providers, covered services, and plan exclusions.
-Sets up contracts for accurate pricing of claims.
-Maintains or assists in maintaining all of the following in the claims payment system:
claim payment message codes, CPT, ICD-10, HCPC, CDT and revenue codes.
-Acts as a trouble- shooter between the IT staff and users.
-Defines and resolve system problems.
-Diagnoses problems relating to software interface.
-Makes recommendations to management for resolving problems.
Qualifications
-High school diploma.
-Two or more years of experience working with medical and/or dental claims required.
-Intermediate skills with Excel spreadsheets required.
-Must have a strong understanding of benefit plans, procedure codes, and diagnosis codes.
-Must have the ability to investigate, analyze, and resolve claim system issues.
-Must have the ability to work in a team environment.
-Must have the ability to prioritize and organize workload in order to meet configuration deadlines.
-Must have the ability to communicate effectively, and maintain effective working relationships with management and coworkers.
-Must have the ability to maintain attendance to support required quality and quantity of work.
Additional Information
Submit cover letter and resume to agreen-barton@emihealth.com.Estimated Salary: $20 to $28 per hour based on qualifications.

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