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Career Level: 2 Category: 15-1000 Occupation: 15
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Skills: High school diploma or GED
3 years of Provider Pricing Configuration in Facets/NetworX
3 years of experience reading, interpreting, and translating provider contracts for professional, facility and ancillary providers
3 years of physician, facility, and ancillary contract reimbursement methodology with Medicare & commercial products
Self-directed individual with a proven track record of strong organizational skills and ability to adapt quickly to change
Strong communication skills to translate complex or technical information Education: 3 Requirement: Role: NetworX Configuration Analyst Description: Reading and interpreting provider contracts, or other pricing artifacts, to complete provider configuration design templates
Creating standard NetworX templates within Facets and on paper as a guide for Config Analysts to use to configure new
Extracting and analyzing pricing data to help assess load accuracy and to resolve provider pricing inquiries and/or pended claims
Complete quality control measures to ensure accuracy of NetworX Agreement build
Identify process improvement opportunities to improve accuracy and timeliness (i.e., automation, turn-around time, etc.)
Manage assigned inventory to ensure timely contract load
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