19 days old

Contract Configuration Specialist - San Antonio, TX

San Antonio, TX 78205
  • Job Code
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)
Times are exciting here as we continue to grow and expand our markets.  We are now seeking a Contract Configuration Specialist at our location in San Antonio, TX. 
Primary Responsibilities:
  • Manages and configures contract reimbursement methodologies within specified timeframes into claims payment system
  • Tests and audits claims payment accuracy against contact information loaded into claims payment system
  • Completes assigned claims in provider set up queue timely and accurately
  • Assists with responding to email inquiries received on a daily basis
  • Assists with reviewing/researching provider disputes due to contact set up issues
  • Partners with other departments to ensure appropriate data is collected and maintained
  • Interprets and configures contract terms and claims coding in a risk based environment
  • Understands health insurance benefit administration in a risk based environment
  • Utilizes data in the development and implementation of managed care strategies
  • Acts as a resource to other internal departments on contract issues
  • Expected to meet or exceed departmental timeframes and quality metrics on a consistent basis
  • Takes ownership of the work process, seeks ways to improve job and process efficiency and makes appropriate suggestions and solutions to management
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.



Posted: 2020-11-03 Expires: 2020-12-03

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Contract Configuration Specialist - San Antonio, TX

UnitedHealth Group
San Antonio, TX 78205

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