Provider Data & Claims Configuration Specialist

WelbeHealth, LLC.; California; On-site; USD 70,000 - 74,000; Full time

Benefits offered by this job

Medical, Dental, Vision insurance

PTO and holidays

401(k) match

Bonus included

Comprehensive benefits

Job summary

WelbeHealth is seeking a Configuration Coordinator in California to manage provider data in the claims processing system and ensure accurate claims processing. You will build and audit provider networks, troubleshoot EDI queues, and handle W9 form processing, aligning with provider agreements and regulations.

The role requires 3+ years in healthcare claim configuration, strong collaboration, and the ability to handle multiple projects with meticulous attention to detail.

Qualifications

• Three years of healthcare claims system configuration experience.
• Experience maintaining provider network data in an electronic claims system.
• Exceptional interpersonal skills and collaborative work style.
• Ability to manage multiple projects with high attention to detail.

Responsibilities

• Build, maintain, test, and audit provider network data in the claims processing system.
• Monitor, research, and resolve EDI failed claims queues (837D, 837I, 837P).
• Validate and process W9 provider tax forms.
• Configure WelbeHealth’s standard rates for out-of-network organizations within the claims processing system.

Skills

Healthcare claim system configuration

Provider network data management

EDI troubleshooting

Attention to detail

Collaborative teamwork

Education

High school diploma or equivalent

Associate’s degree preferred

Tools

Claims processing software

Job description

WelbeHealth is seeking a Configuration Coordinator in California to manage provider data in the claims processing system and ensure accurate claims processing. You will build and audit provider networks, troubleshoot EDI queues, and handle W9 form processing, aligning with provider agreements and regulations.

The role requires 3+ years in healthcare claim configuration, strong collaboration, and the ability to handle multiple projects with meticulous attention to detail.