The Configuration Specialist is responsible for entering and maintaining demographic and contractual data within the claims processing system; works with various departments to answer questions regarding information configured within applicable databases.
ESSENTIAL FUNCTIONS OF THE ROLE
Maintains database, utilizing data sources, to ensure data integrity within the claims processing system. Works in conjunction with other departments to enter data into the system and make modifications to existing configuration.
Performs system configuration based on the business requirements.
Provides support and assistance to users to resolve problems and issues in area of expertise.
Provides assistance with both simple and complex administrative tasks, including but not limited to, entry and validation of data for multiple departments.
Works in conjunction with the Compliance Department to update records as appropriate when notified of credible allegations of fraud and identifies any claims paid during the alleged period.
Reviews quality reports. Updates records to bring configuration in line with company standards.
Aids in the development of new policies and procedures needed as new issues arise, and assists in creating business and system requirements to improve the management of data.
KEY SUCCESS FACTORS
Skill in the use of computers and associated software such as Microsoft Office.
Strong analytical skills.
Experience with claims processing preferred.
Health insurance experience preferred.
Our competitive benefits package includes the following
Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
EDUCATION - Associate's or 2 years of work experience above the minimum qualification
Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!