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　　Come join our Peak Health team at WVU Medicine as a Benefit Configuration Specialist, contributing to the foundation for an innovative, new health plan. This position will report to the Benefits Configuration Manager, playing a unique and important role in our mission to change healthcare for the better.

　　This role will review and implement new plan designs as well as update existing plans via system configuration. The Benefits Team will analyze and update CPT, HCPC and ICD-10 coding along with ensuring compliance with CMS and other insurance governance agencies using expert data analysis.

　　MINIMUM QUALIFICATIONS:EDUCATION, EXPERIENCE, CERTIFICATION, AND/OR LICENSURE:1. Associate degree in health information, healthcare, or related field AND Three (3) years of experience in health insurance, medical coding, claims processing or related field.ORHigh School Diploma or equivalent AND Five (5) years of experience in health insurance, medical coding, claims processing or related field

　　PREFERRED QUALIFICATIONS:EDUCATION, CERTIFICATION, AND/OR LICENSURE:1. Bachelor's degree in health information, healthcare, or related fieldEXPERIENCE:1. 6 years' experience in health insurance and benefit design.

　　CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

　　Configure and maintain health insurance benefit plans in the company's systems, ensuring accuracy and compliance with regulatory requirements.Collaborate with internal stakeholders, including product management and actuarial teams, to understand benefit plan specifications and updates.Conduct regular audits and reviews of benefit configurations to identify discrepancies, inconsistencies, or errors.Implement corrective actions and work closely with relevant teams to address and resolve configuration issues.Work closely with IT teams to ensure seamless integration of benefit configurations into the company's technology platforms.Develop and maintain comprehensive documentation for benefit configurations, ensuring that processes and procedures are well-documented.Evaluate and validate all medical billing codes, various coding services and align to accurate benefit coding.Perform audit on all clinical documents and prepare code to provide support to all services.Perform research on various coding methods and facilitate all plans to resolve all discrepancies and coordinate with all clinical and non-clinical groups to... For full info follow application link.Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.

　　The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)