Randstad Configuration Specialist in Akron, Ohio
US$ 20 per hour
Thursday, September 29, 2016
Randstad USA Administration
Summary of Responsibilities:
Evaluates and maintains all provider information accurately to efficiently process claims.
Analyzes, enters and maintains provider data information accurately in Amisys for all providers, facilities and networks within assigned groups and/or lines of business.
Identifies claims impacted by provider changes. Creates and submits provider reports to Claims for adjustment.
Analyzes provider files from Hos or health plan clients to ensure information is complete. Escalates issues to management
Working hours: 8am-5pm
Loads weekly ACT provider files from PHOs or health plan clients within 7 business days of receipt. Reconciles monthly full files with Amisys within 30 business days of receipt.
Resolves errors identified within daily audit files within 1 business day.
Responds to and resolves contact service forms, pended claims, client provider issues and email questions within established time frames.
Performs all aspects of verification, including functional, regression and system testing; documents, troubleshoots and isolates problems encounters during testing.
Analyzes issues/defects and debugs system when configuration is not producing expected results. Researches issues to determine if source is with test data, test plan, or configuration. Resolves issues with test cases or set-up and re-tests configuration. Escalates issues as appropriate.
Creates and documents all changes to existing configuration as outlined in departmental training and/or policies & procedures.
Performs all job functions with integrity. Provides timely internal and external customer service in cooperative, professional and respectful manner.
High School Diploma or GED required
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