Contract Technician I

Ensemble Health Partners

1d • Remote

About The Position

The primary role of the Contract Technician I is to support client needs relative to Insurance contract management. The specialist will be responsible for Interpretation of Insurance contract verbiage, govt payer reimbursement, and support functions such as file balancing, account/report review and peer audits. Ideal Candidates will have Hospital or Physician Insurance contract build experience, Managed Care experience, as well as contract management platform experience related to reimbursement and contracted rates.

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

Responsibilities

• 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.

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• Associate Benefits – We offer a 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.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED