Jobs · Accounting

Configuration Auditor/Analyst

AmeriHealth Caritas · United States · 4 days ago
RemoteRemoteAccountingFull-time

Responsibilities

  • Audit and analyze all Facets configuration changes completed by the configuration analysts to ensure that all modifications have been completed correctly.
  • Review all associated documentation for completeness.
  • Communicate with the configuration analyst, configuration team lead, tester, and requestor as required to ensure the request is completed as intended.
  • Document all issues identified in the audit process and communicate the audit outcome to the appropriate persons.
  • Validate production to ensure that the case is migrated appropriately.
  • After changes migrate into production, a full post-implementation review is completed as per the policy outline.
  • Build/run complex queries to identify claims affected by the configuration change and analyze all claims to ensure that all outcomes are accurate based on the request.

Requirements

  • Possess a comprehensive knowledge of technical and workflow process components of claims processing.
  • Attend ongoing training as needed and meet all production and quality goals to assist the team in meeting all required Service Level Agreements.

Qualifications

  • High School Diploma/GED required.
  • Bachelor’s Degree preferred.
  • Minimum of 1 year of advanced-level claims experience and auditing experience.
  • Minimum of 3 years of system configuration experience.
  • Facets claim processing knowledge required.
  • Microsoft Access or equivalent relational database application experience.
  • Ability to build complex queries, reports, and macros.

Skills

  • Comprehensive knowledge of technical and workflow process components of claims processing.
  • Ability to build complex queries, reports, and macros.

Benefits

  • Flexible work solutions including remote options, hybrid work schedules.
  • Competitive pay.
  • Paid time off including holidays and volunteer events.
  • Health insurance coverage for you and your dependents on Day 1.
  • 401(k).
  • Tuition reimbursement and more.

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