Offer summary
Qualifications:
Associate degree or 4-year degree preferred, Thorough understanding of ICD-9, CPT and HCPCS codes, Medicare and Medi-Cal fee schedules, RVUs and ASA reimbursement.
Key responsabilities:
- Create and update provider dictionaries, fee schedules, vendor contracts, and capitation schedules based on contract terms
- Test claims and ensure correct processing as per contract terms
- Maintain logs for fee schedules and capitation agreements
- Lead and mentor junior Contract Configuration Specialists