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.