Contract Management Technician

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

📋 Description

• Assist clients with their contract management needs.

• Execute contract loading, validation, troubleshooting, and training activities.

• Engage in knowledge-sharing initiatives related to Contract Management.

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

• Perform file balancing and regular maintenance of the contract management system.

• Work with Ensemble clients to address inquiries regarding contract accuracy and potential reimbursement challenges.

• Provide support to Contract Modeling Specialists with troubleshooting, contract evaluation, and navigation within the Epic system.

• Monitor significant update dates pertaining to reimbursement rules, including Medicare OP, DRG, and managed care contract modifications.

• Utilize modeling tools and reports to detect and validate payment discrepancies for referral to the underpayments team.

• Assist revenue cycle departments with calculation and reimbursement inquiries.

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

• Validate contracts to support client financial strategies and reserve assessments.

• Collaborate with team members and leaders to broaden understanding of managed care organizations, contracts, and the Epic system.

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

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

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

⛳️ Requirements

• At least 2 years of experience in payer reimbursement.

• A minimum of 2 years of Epic certification in RHB390 or RPB390.

• High School Diploma or GED is required.

• Certification in Epic RHB390 or Epic RPB390 Contract Administration.

• Certification as a HFMA Certified Revenue Cycle Representative.

• Must maintain an active Epic Contract Management certification.

• Willingness to embrace innovation, including artificial intelligence.

• Familiarity with managed care organizations, contracts, and relevant healthcare/payer experience.

• Strong problem-solving skills, initiative, and sound judgment.

• Capability to thrive in a fast-paced environment while managing multiple priorities and effectively utilizing resources.

• Proficiency in understanding and interpreting contract terms, particularly in relation to implementation and operational aspects.

• Ability to identify, investigate, and resolve complex financial and operational issues related to providers.

• Recommended proficiency in Microsoft Excel.

• Experience with Epic and/or other contract management software is beneficial.

• Excellent interpersonal skills are essential.

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

🏝️ Benefits

• Bonus Incentives.

• Paid Certifications.

• Tuition Reimbursement.

• Comprehensive Benefits.

• Career Advancement Opportunities.

• Healthcare Coverage.

• Time Off Policies.

• Retirement Plans.

• Well-being Programs.

• Opportunities for Professional Development.

• Quarterly and Annual Incentive Programs.

• Options for Remote Work.

• Reasonable accommodations for qualified individuals with disabilities.