Contract Management Technician

🕒 August 6

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $51.7k - $99k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🛒 Procurement

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Ensemble Health Partners

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

💼 Consulting

🛡️ Insurance

📦 Logistics

💰 Private Equity Round on 2022-03

Consulting • Insurance • Logistics

Ensemble Health Partners is a leading provider of revenue cycle management (RCM) services for healthcare organizations. They offer an end-to-end RCM solution that helps hospitals, health systems, and affiliated physician groups optimize their revenue cycles, reduce denials and underpayments, and enhance patient experiences using a combination of expert management and advanced technology. Ensemble Health Partners leverages certified operators and AI to deliver consistent results, improve collections, and support future growth for healthcare providers. They are recognized for their robust client partnerships and commitment to delivering reliable revenue lift and cost savings for their clients.

📋 Description

• Support client needs related to contract management • Perform contract loading, contract validation, troubleshooting, and training • Participate in Contract Management knowledge-sharing opportunities • Maintain active Epic Contract Management certification for RHB390 (acute) and/or RPB390 (physician) • Conduct file balancing and daily maintenance of the contract management system • Collaborate with Ensemble clients on contract accuracy inquiries and potential reimbursement issues • Support Contract Modeling Specialists with troubleshooting, contract review, and Epic system navigation • Track key update dates for reimbursement rules, including Medicare OP, DRG, and managed care contract updates • Use modeling tools and reports to identify and validate payment variances for underpayments team referral • Support revenue cycle areas with calculation and reimbursement questions • Complete training modules and work-building sessions for Epic contract loading • Validate contracts to support client financial initiatives and reserve calculations • Collaborate with team associates and leaders to expand knowledge of managed care organizations, contracts, and Epic • Interpret Epic product upgrade Nova Notes and complete related Contract builds • Import and export Epic databases for reporting and troubleshooting • Use Epic Toolkits for Medicare OP and IP quarterly and annual updates

🎯 Requirements

• Minimum 2 years of experience relative to payer reimbursement • Minimum 2 years of Epic certification in RHB390 or RPB390 • High School Diploma or GED • Epic RHB390 or Epic RPB390 Contract Administration Certification • HFMA Certified Revenue Cycle Representative • Must maintain active Epic Contract Management certification • Openness to innovation, including AI • Knowledge of managed care organizations, contracts, and products or applicable healthcare/payer experience • High problem-solving ability, initiative, and judgment • Ability to work in a fast-paced environment, balance multiple priorities, and utilize resources aggressively • Ability to understand and interpret contract terms, especially implementation and operational components • Ability to identify, research, and solve complicated financial and operational provider issues • Microsoft Excel proficiency recommended • Experience with Epic and/or other contract management software • Excellent interpersonal skills • Willingness and ability to travel to and work onsite at client, temporary, or corporate office locations as business needs require

🏖️ Benefits

• Bonus Incentives • Paid Certifications • Tuition Reimbursement • Comprehensive Benefits • Career Advancement • Healthcare • Time off • Retirement • Well-being programs • Professional development • Quarterly and annual incentive programs • Remote work • Reasonable accommodations for qualified individuals with disabilities