Contracts Technician Associate

The Opportunity

Career Opportunity Offering:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement

This position pays between $46,900.00 - $89,850.00 based on experience.

Requirements

• High School Diploma or GED
• 2-4 years’ experience in healthcare industry relative to payer reimbursement to include: Hospital or Physician Insurance contract build experience
• Managed Care experience
• Interpretation of Insurance contract verbiage
• Contract management platform experience related to reimbursement and contracted rates.
• Revenue Cycle Management Experience

Essential Functions

• Conduct file balancing and daily maintenance of contract management system
• Maintains a schedule of key update dates for expected reimbursement rules, such as Medicare OP quarterly updates, yearly Diagnostic Related Group (DRG) updates, and yearly increases for the Managed Care contracts utilizing such tools as a Smartsheet for tracking.
• Complete contract build testing to ensure accuracy prior to moving to a production environment.
• Complete contract audits on completed builds as required.
• Provide support to other revenue cycle areas regarding questions on calculations and reimbursement generated by the contract builds.
• Completes necessary training modules and work building sessions to become
• Coordinates and actively participates with other associates and leaders on the team to expand and grow their knowledge of managed care organizations, contracts and products.
• Participates with the Contract Management knowledge share opportunities to expand their knowledge base and role.

Qualifications

• Must obtain CRCR certification within 9 months of hire – employer paid

Skills

• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.

Company Information

• We are an award-winning company
• Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
• Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
• HFMA MAP Awards for High Performance in Revenue Cycle 2019-2024
• Everest Group's RCM Operations PEAK Matrix Assessment 2024
• Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
• Fortune Media Best Workplaces in Healthcare 2024
• Monster Top Workplace for Remote Work 2024
• Great Place to Work certified 2023-2024

About the Role

Supports client needs relative to Insurance contract management. Responsible for Interpretation of Insurance contract verbiage, govt payer reimbursement, and support functions such as file balancing, account/report review and peer audits.

Responsibilities

Supports client needs relative to Insurance contract management. Responsible for Interpretation of Insurance contract verbiage, govt payer reimbursement, and support functions such as file balancing, account/report review and peer audits.

Qualifications

• High School Diploma or GED
• 2-4 years’ experience in healthcare industry relative to payer reimbursement to include: Hospital or Physician Insurance contract build experience
• Managed Care experience
• Interpretation of Insurance contract verbiage
• Contract management platform experience related to reimbursement and contracted rates.
• Revenue Cycle Management Experience

Skills

• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.