[Hiring] Contracts Technician Associate @Ensemble Health Partners

Role Description

The primary role of the Contracts Technician Associate is to support client needs relative to Insurance contract management. The associate will be responsible for:

• Interpretation of Insurance contract verbiage
• Government payer reimbursement
• Support functions such as file balancing, account/report review, and peer audits

Essential Functions:

• Conduct file balancing and daily maintenance of contract management system
• Maintain a schedule of key update dates for expected reimbursement rules, such as:
  • Medicare OP quarterly updates
  • Yearly Diagnostic Related Group (DRG) updates
  • Yearly increases for the Managed Care contracts utilizing tools like Smartsheet for tracking
• Complete contract build testing to ensure accuracy prior to moving to a production environment
• Complete contract audits on completed builds as required
• Provide support to other revenue cycle areas regarding questions on calculations and reimbursement generated by the contract builds
• Complete necessary training modules and work building sessions to become knowledgeable
• Coordinate and actively participate with other associates and leaders on the team to expand and grow their knowledge of managed care organizations, contracts, and products
• Participate in Contract Management knowledge share opportunities to expand their knowledge base and role

Qualifications

• High School Diploma or GED
• 2-4 years’ experience in healthcare industry relative to payer reimbursement, including:
  • Hospital or Physician Insurance contract build experience
  • Managed Care experience
  • Interpretation of Insurance contract verbiage
  • Contract management platform experience related to reimbursement and contracted rates
  • Revenue Cycle Management experience

Requirements

• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences
• This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require
• Must obtain CRCR certification within 9 months of hire – employer paid

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement