Provider Pricing Analyst

University Health System; San Antonio; Presencial; CLP 55.710.000 - 69.638.000; Jornada completa

Descripción de la vacante

A healthcare organization in San Antonio is seeking a Provider Pricing Configuration Analyst to maintain provider contracts and fee schedules within the claims processing system. The ideal candidate will have a bachelor's degree in computer science or healthcare and experience with SQL. This role involves liaising between auditing and benefits departments to ensure claims payment accuracy and provides support to interdepartmental teams.

Formación

• Minimum of one year health care experience may be substituted for college education.
• System Configuration or SQL experience is preferred.

Responsabilidades

• Maintain and oversee the loading of provider contracts and fee schedules into the claims processing system.
• Act as a liaison between Auditing, Benefits Configuration, and Provider Data Departments.
• Provide support to interdepartmental teams regarding provider pricing.

Educación

Bachelor’s degree in computer science, health care or related field

Herramientas

SQL

Descripción del empleo

POSITION SUMMARY/RESPONSIBILITIES

The Provider Pricing Configuration Analyst maintains and oversees the loading of provider contracts and fee schedules into claims processing system to ensure claims payment accuracy and consistency. Analyze complex problems pertaining to claim payments, The Analyst will act as a liaison between the Auditing, Benefits Configuration and Provider Data Departments. Provides additional support to interdepartmental teams regarding provider pricing. Promote harmonious relationships within own department, with other departments. Operates under limited supervision

EDUCATION/EXPERIENCE

Bachelor’s degree in computer science, health care or related field is preferred. Minimum of one year health care experience may be substituted for college education. System Configuration or SQL experience is preferred