Job Summary
A healthcare company is in need of a Telecommute Provider Reimbursement Administrator.
Core Responsibilities Include:
- Configuring FACETS NetworX with provider reimbursement terms, Process Control Agents, fee schedules, and code sets
- Responding to system inquiries and appeals
- Creating queries using SQL and/or ACCESS to validate provider, configuration, and claims data
Applicants must meet the following qualifications:
- Requires a BA/BS degree or any combination of education and experience
- 2-3 years related experience
- Ability to work with provider contracting staff when new/modified reimbursement contracts are needed
- Ability to perform CPT/HCPCS code and fee schedule updates