Rates Configuration Specialist

 Posted a day ago
     
 $72500 - $77500 per year
  
⭐ 2-5 years experience
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AI Summary

The Rates Configuration Specialist is responsible for configuring, maintaining, and updating rate tables and fee schedules within healthcare management systems. They also audit rate configurations for accuracy and collaborate with various departments to implement changes and resolve discrepancies.
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.

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