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Job Openings

Configuration Data Specialist

Job #: 17CF94
Department: Configuration
Location: Tulsa
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Responsible for maintaining contracted and non-contracted provider profiles in Amisys to ensure correct setup for claims processing, capitation, line of business affiliations and contract intricacies for both clinic and practitioner level data. Works in conjunction with Pricing and Benefit Specialists as well as Provider Services and Credentialing to develop and implement provider contract configuration in Amisys.

Also responsible for maintaining membership subsystem in Amisys including employer group and individual set up for claims processing and billing. Works in conjunction with Benefit Specialists, Marketing, Enrollment and Underwriting to implement client profiles and premium building. Knowledge of Marketplace terminology and guidelines is preferred.

REQUIRED QUALIFICATIONS

  • High School Diploma or equivalency.
  • 2 years claims processing, preferably on Amisys system OR 4 years in health insurance related field.
  • Basic knowledge of medical terminology.
  • Excellent oral and written communication skills, as well as the ability to interpret and communicate.
  • Knowledge in the use of Word and Excel preferred.
  • Successful completion of Health Care Sanctions background check.
  • Ability to converse and write fluently in English.

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