Configuration Coordinator

WelbeHealth; Los Angeles (CA); On-site; USD 70,000 - 74,000; Full time

Benefits offered by this job

Medical insurance (Medical, Dental, V"

17 days of personal time off (PTO)

12 holidays observed annually

6 sick days

401K match

Base pay + bonus included

Comprehensive benefits

Job summary

WelbeHealth’s PACE program provides seniors with the opportunity to continue living in their homes and in their communities. Our configuration team supports accurate claims processing by configuring provider data in our medical claims system.

As a Configuration Coordinator reporting to the Configuration Manager, you will build, test, and audit networks, resolve EDI queues, and enable timely, compliant payments for out-of-network providers.

Qualifications

• High school diploma or equivalent; associate’s degree preferred.
• Minimum of three (3) years of experience in healthcare claim system configuration.
• Experience working with and maintaining provider network data in an electronic claims processing system.
• Exceptional interpersonal skills and ability to work collaboratively.
• Ability to manage multiple projects with high attention to detail.
• Must be willing and able to work a varied schedule that may include evenings, nights, weekends, and overtime.

Responsibilities

• Build, maintain, test, and audit provider network data in our claims processing system to ensure the accurate processing of claims in accordance with provider agreements, regulatory guidelines, and company policy.
• Monitor, research, and resolve EDI (837D, 837I, 837P) failed claims queues in a timely manner.
• Validate and process W9 provider tax forms.
• Configure WelbeHealth’s standard rates for out-of-network organizations within the claims processing system.

Skills

Healthcare claims experience

Interpersonal collaboration

Attention to detail

Education

High school diploma or equivalent

Associate’s degree preferred

Tools

EDI systems

W9 processing

Claims processing software

Job description

WelbeHealth’s PACE program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not just the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission.

Reporting to the Configuration Manager, the Configuration Coordinator is accountable for the configuration of organization and provider data within our claims processing system to support accurate and timely claims processing.

This role is different because the Configuration Coordinator at WelbeHealth:

• Has opportunities for career growth and development, including advancement into specialist-level positions
• Plays a critical role in supporting a growing, mission-driven healthcare organization, ensuring vulnerable seniors feel supported and have access to high-quality care

We care about our team members. That’s why we offer:

• Medical insurance coverage (Medical, Dental, Vision)
• Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days
• 401K savings + match
• Comprehensive compensation package including base pay and bonus
• And additional benefits!

On the day-to-day, you will:

• Build, maintain, test, and audit provider network data in our claims processing system to ensure the accurate processing of claims in accordance with provider agreements, regulatory guidelines, and company policy
• Monitor, research, and resolve EDI (837D, 837I, 837P) failed claims queues in a timely manner
• Validate and process W9 provider tax forms
• Configure WelbeHealth’s standard rates for out-of-network organizations within the claims processing system

Job requirements include:

• High school diploma or equivalency; associate’s degree preferred
• Minimum of three (3) years of experience in healthcare claim system configuration
• Experience working with and maintaining provider network data in an electronic claims processing system
• Exceptional interpersonal skills and ability to work collaboratively
• Ability to manage multiple projects with high attention to detail
• Must be willing and able to work a varied schedule that may include evenings, nights, weekends, and overtime

We are seeking a Configuration Coordinator that has three (3) years of healthcare experience. If you’re ready to join a team that values both its participants and team members, we’d love to hear from you!

Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications.

$70,304 - $73,828.33 USD

At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.

Our Commitment to Diversity, Equity and Inclusion

At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

Applicants must be legally authorized to work in the United States without current or future employer sponsorship. At this time, WelbeHealth does not provide any employment-based visa sponsorship, including H-1B, TN, E-3, O-1, F-1 OPT/STEM OPT, or other employment-based work authorization.

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