Rates Configuration Specialist

Posted 2 months ago

United States

$72500 - $77500 per year

2-5 years experience

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Benefits:

401(k)
401(k) matching
Bonus based on performance
Company parties
Dental insurance
Employee discounts
Free food & snacks
Health insurance
Opportunity for advancement
Paid time off
Parental leave
Savings bank
Training & development
Vision insurance
Wellness resources

About the Role:

MedPOINT Management in Sherman Oaks, CA is looking for a detail-oriented Rates Configuration Specialist to join their team. In this role, you'll play a critical part in managing and maintaining rate structures that keep healthcare operations running smoothly and accurately. If you thrive in a data-driven environment and have a passion for precision, this is the opportunity for you.

Responsibilities:

Configure, maintain, and update rate tables and fee schedules within healthcare management systems
Audit and validate rate configurations to ensure accuracy and compliance with contractual agreements
Collaborate with contracting, claims, and provider relations teams to implement rate changes
Identify and resolve discrepancies in rate data, escalating issues as needed
Document configuration processes, updates, and changes for internal records and compliance purposes
Support system testing and quality assurance for rate-related updates and implementations
Generate reports and analysis related to rate performance and configuration accuracy

Requirements:

Experience in healthcare administration, managed care, or a related field
Familiarity with fee schedules, CPT codes, and healthcare reimbursement methodologies
Strong analytical and data entry skills with a high level of attention to detail
Proficiency in Microsoft Excel and healthcare management or claims processing systems
Ability to manage multiple priorities and meet deadlines in a fast-paced environment
Strong communication skills for cross-departmental collaboration
Associate's or Bachelor's degree in Healthcare Administration, Business, or a related field preferred

About Us:

MedPOINT Management is a leading Independent Physician Association (IPA) management company based in Sherman Oaks, CA, with decades of experience supporting healthcare providers across Southern California. Providers trust MedPOINT for their commitment to operational excellence and seamless care coordination. Employees enjoy a collaborative, mission-driven workplace where their contributions directly impact the quality of healthcare delivery.

This is a remote position.

MedPOINT Management

Employees 51-200 employees Industry Wellness and Fitness Services

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