Contract Management Technician

This is a fully remote position, open to applicants in Ohio.

📋 Description

• Assist clients with their needs related to contract management.

• Enter and verify contracts in the system.

• Resolve issues related to contract management and provide necessary training.

• Perform file balancing and maintain daily operations of the contract management system.

• Work collaboratively with Ensemble clients to ensure contract accuracy and address reimbursement inquiries.

• Aid Contract Modeling Specialists in troubleshooting, reviewing contracts, and navigating the Epic system.

• Monitor significant update dates for reimbursement regulations, which include Medicare OP, DRG, and managed care adjustments.

• Utilize modeling tools and reports to detect payment discrepancies for underpayments appeals and follow-up actions.

• Assist revenue cycle departments with calculations and inquiries regarding reimbursements.

• Complete training modules and participate in work-building sessions focused on Epic contract loading.

• Validate contracts for client fiscal initiatives and reimbursement-based reserve assessments.

• Engage in knowledge-sharing, training, and team development efforts.

• Interpret Epic product upgrade Nova Notes and execute related contract builds.

• Import and export Epic databases for the purposes of reporting and troubleshooting.

• Utilize Epic Toolkits for quarterly and annual updates pertaining to Medicare OP and IP.

⛳️ Requirements

• A minimum of 2 years of experience related to payer reimbursement.

• At least 2 years of Epic certification in RHB390 or RPB390.

• Active Epic certification in Epic Contract Management for RHB390 (acute) and/or RPB390 (physician).

• Certification in Epic RHB390 or Epic RPB390 Contract Administration.

• HFMA Certified Revenue Cycle Representative.

• High School Diploma or GED is required.

• Willingness and ability to travel and work onsite at client, temporary, or corporate office locations as needed.

• Knowledge of managed care organizations, contracts, and products, or relevant healthcare or payer experience.

• Capability to interpret all facets of a contract, particularly implementation and operational elements.

• Proficiency in Microsoft Excel is recommended.

• Familiarity with Epic and/or other contract management software.

• Exceptional interpersonal skills.

• Ability to thrive in a fast-paced environment while managing multiple priorities.

• Must be curious and open to innovation, including AI technologies.

• Must reside in and be authorized to work within the United States.

🏝️ Benefits

• Bonus Incentives.

• Paid Certifications.

• Tuition Reimbursement.

• Comprehensive Benefits, including healthcare, time off, retirement, and well-being programs.

• Opportunities for Career Advancement.

• Professional development opportunities.

• Quarterly and annual incentive programs.

• Work-life flexibility.

• Remote work arrangement.

• Professional certification relevant to the associate’s field.

• Equal employment opportunity and reasonable accommodations.