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TECHNICAL ANALYST - PROV MAINT Job in Canton, Ohio US
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Job Summary

Company
Aultcare Corp.
Location
Canton, OH
Industries
Government and Military
Job Type
Full Time
Employee
Years of Experience
Less than 1 Year
Job Reference Code
52968009

TECHNICAL ANALYST - PROV MAINT

About the Job

Req# 17593

Aultman Health Foundation, CANTON, OH

AULTCARE ADMINISTRATION

Aultman Health Foundation

Full Time, Day Shift, varies

PURPOSE OF POSITION:

The primary purpose of the Product Support/Fee Coordinator is to review, assist, compile data, document processes and problem solve issues that are directed to the department.

RESPONSIBILITIES & EXPECTATIONS:

* Ability to compile fee schedules as released by CMS and prepare for load into the various claims processing systems. This includes but is not limited to Medicare Locality updates, Zip codes and region code updates.

* Work with Provider Relations on Commercial fee schedules as updates are warranted.

* Track and test fee schedule loads once loaded into the systems to ensure they load properly and to document for change control and auditing purposes.

* Act as a consultant to departments to problem solve and/or issue resolution to software system functionality. Determine user functionality vs. software functionality to report issues to software vendors. Software includes, but not limited to, TCX, QNXT, RIMS, CES, EAM.

* Assist with updating configuration options within the claims processing software based on department manager decisions. Document for change control and audit purposes.

* Assist with testing and coordination of software upgrades.

* Perform production daily closing file reconciliation from QNXT to Change Health Care. Record and identify any errors requiring solution adjustments for the EOP/EOB.

* Perform testing and file reconciliation from the test regions during conversion and for upgrades.

* Ability to identify and problem solve.

* Ability to manage multiple projects at one time.

* Process Improvement: Continuously reviews, recommends and implements improvement steps, as needed or directed.

* Seeks supervisory guidance/approval as appropriate.

* Portrays professional image: follows dress code, communicates with internal and external customers in a professional manner, including appropriate verbal and written grammar.

* Promotes and demonstrates professional standards to enhance the development of the department.

* Practices ethical conduct.

* Meets acceptable attendance and punctuality expectations (excluding FMLA)

The above statements reflect the general duties considered necessary to describe the principle functions of the job as identified, and shall not be considered as a detailed description of all the work requirements that may be inherent to this position.

All qualified applicants will receive consideration for employment without regard torace, color, religion, sex, gender identity, sexual orientation, age, national origin, disability, or protected veteran status. AultCare is an EEO/AA Employer M/F/Disability/Vet.

QUALIFICATIONS:

* Education: High School or High School Equivalent.

* Experience: Word, Excel, PowerPoint, Outlook proficient. SQL and Access databse experience preferred.

WORKING CONDITIONS:

* Hours of operation, shifts as assigned. Occasionally extra hours, on-call, off-shifts (evenings and/or weekends) scheduled as necessary.

* Lunch and break periods must be coordinated with other staff members to maintain adequate office staffing.

* Subject to frequent interruptions and changes in priority of duties throughout the day.

* Office environment with moderate noise level.

* Frequent sitting, use of hands/fingers across keyboard or mouse, and long periods working at a computer.

* Occasionally walking, standing, twisting/turning and reaching upward or forward during work day.

AultCare is an Equal Opportunity Employer (EOE) that values and respects the importance of a diverse and inclusive workforce.  It is the policy of the company to recruit, hire, train and promote persons in all job titles without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, protected veteran status or disability.  We recognize that diversity and inclusion is a driving force in the success of our company.  AultCare is an Equal Opportunity Employer that will make reasonable accommodation to enable individuals with disabilities to apply and compete for employment opportunities for which they are qualified.  To request an accommodation, please email our Human Resources department at kbricker@aultcare.com , or call 330-363-6388, for further assistance.
 

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