The Configuration Benefit Analyst I will act as a liaison between the Auditing, Benefits Configuration and Provider Data Departments. The position will be responsible for supporting business initiatives through various administrative duties such as triage of incoming departmental communications, monitor marginal system updates, and operational reporting.
Follow department workflow procedures to ensure maximum efficiency
Meeting facilitation including preparation of meeting agendas, schedule maintenance, attendance documentation and distribution of minutes
Triage department email correspondence to the appropriate associate for review based on department assignments set by Supervisor, respond to work requests with estimated turnaround time parameters and continue to monitor any outstanding work requests to gauge appropriate follow-up communication
Triage Benefit Configuration department claims workgroup including auxiliary research to determine root cause, notation of escalated requests pended to each Benefit Analyst II for immediate completion
Targeted operational reporting, data collection and ad-hoc report creation as requested by management
Maintain quarterly Medically Unlikely Edits (MUE) limits as well as any other regulated CMS and DOD updates as identified by Supervisor
Create and maintain department policies
Other duties as assigned
Maintain communication with Benefits Analyst II associates regarding CMS or DOD regulatory updates to ensure system compliance
Associates Degree preferred but not required
Experience in the healthcare industry
Understanding of ICD9-CM, ICD10, CPT-4, HCPCS codes
Prior experience working with TRICARE, Indigent Programs, Medicare Advantage, Health Care Exchange highly desirable.
Basic benefits and claims knowledge
Excellent communication and writing skills
Ability to handle and resolve issues with minimal assistance
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.
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