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Billing Review Auditor - Contract Management @TruBridge, Inc

[Hiring] Billing Review Auditor - Contract Management @TruBridge, Inc

Mar 18, 2025 - TruBridge, Inc is hiring a remote Billing Review Auditor - Contract Management. đź’¸ Salary: unspecified. đź“ŤLocation: USA.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The Contract Management Auditor is responsible for reviewing, analyzing and resolving discrepancies in claim payments as determined by TruBridge Contract Management software.

  • Works closely with team members and the client to ensure necessary and up-to-date contract information is provided.
  • Collaborates with the TruBridge modeling team to confirm terms are modeled correctly.
  • Proactively researches and identifies claim reimbursement discrepancies and takes necessary steps to resolve issues and collect maximum reimbursement from payers for services provided.
  • Reviews and interprets payer contracts and associated documentation to ensure accurate modeling.
  • Works with the Contract Management modeling team to ensure accurate calculations and communicate any known updates or changes needed.
  • Engages with payors and client payor representatives through verbal, online and/or written communication as required by specific payor appeal processes to correct and collect underpayments on claims.
  • Identifies overpayment refunds due from the client to payors as required.
  • Manages Contract Management processes for multiple clients.
  • Maintains tracking system and reporting on appeals and underpayment recoupments.
  • Performs other duties as required.

Qualifications

  • 3 years of health care billing multiple payors.
  • Above average knowledge of healthcare billing processes.
  • High degree of self-motivation and strong organizational skills.
  • Ability to positively collaborate and communicate with the team.
  • Can work independently and has a high degree of critical thinking skills.

Requirements

  • 5 years of health care billing multiple providers (preferred).
  • Health Care Contract Management Experience (preferred).

Benefits

  • Work remotely with a work/life balance approach.
  • Robust benefits offering, including 401(k).
  • Generous time off allotments.
  • 10 paid holidays annually.
  • Employer-paid short term disability and life insurance.
  • Paid Parental Leave.

Company Description

You’ll help connect providers, patients and communities with innovative solutions that create real value by supporting both the financial and clinical sides of healthcare delivery.

  • Part of a remote team that’s encouraged to push boundaries and look at things differently.
  • Contribute to supporting providers in delivering the best care possible for their communities.

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Back to Remote jobs  >   All others
Billing Review Auditor - Contract Management @TruBridge, Inc
All others
Salary đź’¸ unspecified
Remote Location
USA
Job Type full-time
Posted Mar 18, 2025
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️
đź“Ť Be aware of the location restriction for this remote position: USA
‼ Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.
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