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Terros Health · 1 month ago

Configuration Specialist

Phoenix, AZ

Full-time

Onsite

New Grad, Entry Level

Terros Health is a healthcare organization focused on whole person health and integrated care delivery. The Configuration Specialist will assist in configuring the practice management system to ensure proper billing and claims processing, while also maintaining documentation and supporting quality initiatives.

Health CareMental HealthPrimary and Urgent Care

Responsibilities

Develop and maintain an understanding of current payer and NextGen configuration rules, contracts, and policies

Assists in the accurate and timely loading of the following (including annual updates):

Payor contracts

Providers

Fee schedules

Code set mapping

Specialized rules and alerts in Nextgen EPM

Develop and maintain configuration documentation and communicate configuration processes, changes and best practices

Assists in the development and execution of test scenarios for configuration changes

Assists in the maintenance of system flags and understands the impact of the system flags on the claims and EHR system

Develop and monitor post-production audit reports to ensure the intent of NexGen EPM configuration related change and/or project requirements are met

Run and analyze ad-hoc reports

Meets department production and quality standards

Assists in preparing and delivering reports and recommendations on claims payable accuracy and timeliness and related configuration opportunities to enhance revenue cycle department performance

Assist in the implementation of high-level quality and performance management initiatives

Accountable for outstanding customer service to all external and internal customers

Develops and maintains effective relationships through effective and timely communication

Take initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner

Documentation of approved software changes, updates, patches and notification of software releases including the tracking of action items and capturing software changes

Maintain all applicable configuration baseline documentation

Participates in code reviews, fixes any defects, and performance problems discovered in testing; and participates in transitions of the application components to the testers

Coordinates and assists the Director of Revenue Cycle Management in outside vendor audit compilation and tracking

Use sound judgment to determine when to escalate issues and to whom to ensure the highest quality resolution

Qualification

NextGen configurationPayer contractsClaims processingConfiguration documentationAd-hoc reportingCustomer serviceEffective communicationInitiative

Required

Understanding of current payer and NextGen configuration rules, contracts, and policies

Assists in the accurate and timely loading of payor contracts, providers, fee schedules, code set mapping, and specialized rules and alerts in NextGen EPM

Develop and maintain configuration documentation and communicate configuration processes, changes, and best practices