Certifications: Not required. (CPC is desired not required)


Experience: 2 years related work minimum. 
Education: HS Diploma or Equivalent required. 

Description: 
6 people department.
Provide ancillary support of key departmental functions 
Support accurate updates of key departmental source documents and the codify benefit policy 
A high level of accuracy, precision and attention to detail is required.
Monitor various websites (Medicare, Medi-Cal, Optum) to identify potential updates affecting the team.
Utilize database to run reports (Scheduled and Ad Hoc).
Support a team of 5 analysts and report directly to the Senior Director of Benefit Coding and Policy.
Have oversight provided by department lead or Department Business process consultant 

 
Should have strong working Knowledge on ICD-10 code sets 
Background in Claims is desired but not required 
Strong Excel and Word skills are needed– accuracy 
Updating slide decks for presentations 
Organize share drive 
Weekly meetings – updating the agendas and attaching the bodies of work. 
Time tracking. - Participate in resource allocation statistics gathering (track hours spent on daily functions) 

Top 3-5 Daily Responsibilities: 
1. Updating approved change requests from internal stakeholders into source document (excel)  via internal workflow tool
2. Working with Team lead to update & distribute meeting materials 
3. Monitoring of various websites 
4. Participate in Benefits Mapping tool enhancement testing and validation 
5. Workflow Pipeline Maintenance (audit, dashboard, and ad hoc reporting) 

Top 3-5 Required Skills: 
1. Strong knowledge of Excel, Word, PowerPoint, and other Microsoft Office products. MUST BE very proficient in Excel. 
2. Excellent organization and time management 
3. Attention to detail and EXTREMELY well organized. 
4. High degree of accuracy 

Desired Skills: 
1. Knowledge of managed care environment 
2. Knowledge of medical coding e.g., CPC, HCPCS, ICD-10 (Certification not required) 
3. Knowledge of medical claim processing 
4. Accuracy in following directions 

Soft Skills: 
1. Ability to work independently once direction is given 
2. Ability to work with a high level of accuracy
3. Excellent written and communication skills 
4. Ability work well in a team 
5. Provide feedback if there are questions

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