Benefit Configuration Analyst
Peak Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Job Level
About the role
- Review, implement and test new plan designs
- Update existing benefit plans via business requirements
- Work with IT for technical solutions
- Analyze and update CPT, HCPC and ICD-10 coding
- Ensure compliance with CMS and other insurance governance agencies
- Conduct regular audits and reviews of benefit configurations
- Resolve configuration errors and maintain documentation
- Validate medical billing codes
- Administer review of professional billing systems and perform research on coding errors
- Collaborate with clinical and non-clinical groups to manage documentation
Requirements
- Associate degree in health information or related field AND one year of experience in health insurance, medical coding, claims processing or related field OR High School Diploma AND three years of experience in health insurance, medical coding, claims processing or related field.
- Bachelor's degree in health information or related field (preferred)
- Six years’ experience in health insurance and benefit design.
- Demonstrated knowledge of federal and state insurance guidelines
- Proficiency with Microsoft Office
- Attention to detail, organizational skills, and ability to perform multiple tasks simultaneously.
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
CPT codingHCPC codingICD-10 codingmedical billingbenefit plan designclaims processingauditingdocumentation managementconfiguration error resolutiondata analysis
Soft skills
attention to detailorganizational skillsmultitaskingcollaborationproblem-solving