Advanced Medical Management, Inc. · 3 months ago
Contract Configuration Analyst I
Long Beach, CA, US
Full-time, Contract
Onsite
Mid, Senior Level
$22/hr - $30/hr
5+ years expAdvanced Medical Management, Inc. is seeking a Contract Configuration Analyst I who will support all aspects of system configuration for Authorizations and Claims. The role involves configuring rates based on provider and vendor contracts, maintaining system configurations, auditing fee schedules, and coordinating with internal departments to resolve system-related issues.
Health CareHospital
Responsibilities
Configure rates based on provider contracts to ensure accurate payments of claims and capitations to providers
Configure rates based on vendor contracts to ensure accurate payments
Maintain system configuration based on data received from contracting
Audit accuracy of Fee schedules in test environment prior to in-loading in production
Assign Fee Set Assignments by line of business or health plan code
Program and audit Interest Payment
Program and audit RBRVS Geographical Adjustment
Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system as necessary
Coordinating with internal departments to resolve and assist with system related issues/builds
Other duties may be assigned by the Supervisor of Contract Configuration or Manager of Contract Configuration
Ability to handle fluctuating volumes of work and be able to prioritize work to meet deadlines and needs of user community
Qualification
Required
Minimum 5 years' of administrative healthcare experience preferred
High School Diploma or GED, some college preferred
Experience with benefits and system configuration and interpretation
Medical terminology, CPT, Revenue codes, ICD10, RBRVS, HCPCS, HIPPS code sets
Must have experience with all lines of business, Medicare, Medi-Cal, and Commercial claims and know industry guidelines
Knowledge of software applications such as EZCAP is a plus
Must be familiar with Microsoft Office (Word, Excel, Outlook, Microsoft, Access, SQL)
Follow up on assignments, show initiative, be self-motivated, and have a strong work ethic
Possess strong time management skills, including the ability to prioritize deadlines on multiple projects
Produce accurate and high-quality work on time and consistently
Individual should also demonstrate the ability to work with all levels of staff within AMM
Must be highly organized and able to perform multiple tasks efficiently, be computer literate
Ability to work in a fast-paced environment
Strong analytical skills and problem solving skills are necessary
Must obtain a positive attitude and have excellent communication skills
Benefits
Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
Career Development: Tuition reimbursement to support your education and growth.
Team Fun: Paid company outings and lunches because we work hard, but we also know how to have fun!
Company
Advanced Medical Management, Inc.
Advanced Medical Management, Inc.
51-200 employees
H1B Sponsorship
Advanced Medical Management, Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2020 (1)
Funding
Current Stage
Growth StageRecent News
Company data provided by crunchbase