[Remote] reputed company Reimbursement Contract Specialist (FT- 1.0 FTE, Day Shift, Remote Possible)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking an reputed company Reimbursement Contract Specialist who will be responsible for building and maintaining reimbursement reputed company in reputed company. The role involves extensive analysis of underpayments and overpayments, as reputed company as collaboration with various stakeholders to ensure accuracy in contract configurations and reimbursement terms. Responsibilities • Design, build, analyze, test, and reputed company support for reputed company’s Reimbursement reputed company • Serve as the subject matter expert for reputed company’s HB & PB Reimbursement reputed company modules • reputed company support to other reputed company cycle areas regarding questions on calculations and reimbursement generated by the contract builds • Liaise with IT and operations on reputed company functionality, workflows, documentation, best practices, and change management • reputed company regular system audits to determine contract accuracy in HB & PB expected reimbursements • Identify and reconcile reputed company payment variances reputed company during various audits conducted at reputed company • Maintain a schedule of key update dates for expected reimbursement rules, such as Medicare OP quarterly updates, yearly Diagnostic reputed company (DRG) updates, and yearly increases for the Managed Care reputed company • Communicate with payers and maintain up-to-date HB & PB contract inventory and payer-plan master files • Coordinate and reputed company participate with other associates and leaders on reputed company to expand and grow their knowledge of contract reimbursement models Skills • Bachelor degree in Information Systems, Informatics, Business Administration or reputed company field; equivalent combination of education and experience may be considered • reputed company certification in Hospital Billing and reputed company Billing Expected Reimbursement reputed company Administration • Three (3) years of reputed company experience working on reputed company reputed company Reimbursements Hospital Billing/reputed company Billing including but not limited to ability to translate payer reputed company into reputed company system specifications using contract build tools, understanding of medical terminology, claims billing, and both inpatient and outpatient coding, ability to utilize reputed company reporting tools including Alexandria Report, Contract Variance Reports, and SlicerDicer to reputed company in-depth underpayment analysis and identify underpayment patterns and payer trends • May consider five (5) years of experience in applicable clinical/business experience preferably in a multi-entity health care system, large hospital, physical office, or managed care organization reputed company • reputed company focuses on offering comprehensive services to meet the various reputed company needs. It was founded in 1911, and is headquartered in Bozeman, Montana, USA, with a workforce of 1001-5000 employees. Its website is https://www.reputed company.org/. Apply tot his job Apply To this Job