Employer Industry: Healthcare

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Salary up to $(amount)
- Supportive and collaborative work environment
- Chance to make a positive impact on revenue cycle operations
- Work remotely anywhere within the designated states
- Engage in data analytics to optimize contract performance

What to Expect (Job Responsibilities):
- Thoroughly review and interpret payer contracts to identify key terms for billing codes and payment methodologies
- Stay updated on payer policy changes to ensure compliance and accurate billing
- Assist payer relations with contract modeling for negotiations
- Collaborate with various teams to address contract concerns and ensure accurate implementation in the Epic system
- Utilize data analytics tools to monitor contract performance and identify trends

What is Required (Qualifications):
- High School Diploma with 9 years of experience in Healthcare, Epic IT, and/or Financial Operations; OR Associate's Degree with 7 years; OR Bachelor's Degree with 5 years in relevant fields
- Minimum of three years’ experience in Epic contract maintenance and modeling
- In-depth knowledge of healthcare contracts, including payer terms and reimbursement methodologies
- Strong analytical skills to identify trends and draw actionable insights
- Required certifications: Resolute Hospital Billing Expected Reimbursement Contracts Administration (RHB390) and Resolute Professional Billing Reimbursement Contracts (RPB390)

How to Stand Out (Preferred Qualifications):
- Five years’ experience in Epic contract maintenance and modeling modules

#Healthcare #RemoteWork #Epic #ContractAnalysis #CareerGrowth #DataAnalytics

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.