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Ensemble Health Partners · 2 hours ago

Contract Technician II

United States

Full-time, Contract

Remote

Entry, Mid Level

$52K/yr - $99K/yr

2+ years exp

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Contract Technician II role focuses on supporting client needs related to contract management, including contract loading, validation, and troubleshooting, while maintaining Epic certification and collaborating with clients to ensure contract accuracy.

Health CareHospitality

Responsibilities

Maintain an active Epic certification in Epic Contract Management for RHB390 (acute) and/or RPB390 (physician)

Conduct file balancing and daily maintenance of contract management system based on client/system need

Collaborates with Ensemble Clients to assist with inquiries related to contract accuracy and/or potential reimbursement issues

Provide support to Contract Modeling Specialists for trouble shooting (including contract review and/or Epic system navigation)

Maintains a schedule of key update dates for expected reimbursement rules, such as Medicare OP quarterly updates, yearly Diagnostic Related Group (DRG) updates, and yearly increases for the Managed Care contracts utilizing such tools as a Smartsheet for tracking

Uses modeling tools and reports to identify and confirm validity of payment variances for referral to the underpayments team for appeal and/or follow-up

Provide support to other revenue cycle areas regarding questions on calculations and reimbursement

Completes necessary training modules and work building sessions to become fluent in contract loading for the client host system, Epic

Provide ongoing contract validation to support client financial initiatives, including expected reimbursement based reserve calculations for budgeting purposes

Coordinates and actively participates with other associates and leaders on the team to expand and grow their knowledge of managed care organizations, contracts, and the Epic system

Knowledgeable in the interpretation of Epic product upgrade Nova Notes and completion of any needed Contract build related to them

Efficient in the import/export of Epic databases for use in reporting, troubleshooting, and other related tasks

Proficient in the use of Epic supplied Toolkits for Medicare OP and IP quarterly and annual updates

Qualification

Epic RHB390 CertificationEpic RPB390 CertificationContract ManagementMicrosoft ExcelRevenue Cycle ManagementManaged CareProblem-solvingInterpersonal SkillsSelf-starter

Required

High School Diploma or GED

Epic RHB390 or Epic RPB390 Contract Administration Certification

HFMA Certified Revenue Cycle Representative

2 years' experience relative to payer reimbursement with a minimum of 2 years Epic certification in RHB390 or RPB390 Epic certification

Knowledge of managed care organizations, contracts, and products or applicable healthcare or payer experience relative to position

Requires a high level of problem-solving ability, initiative and judgment

Requires the ability to work in a fast-paced environment balancing multiple priorities and utilizing resources aggressively

Requires the ability to understand and interpret all aspects of a contract with an emphasis on the implementation and operational components of contract terms

Must be a self-starter with the ability to identify, understand, research, and solve unique and complicated financial and operational provider issues as it relates to their specific contracts

Microsoft Excel proficiency is recommended

EPIC and/or other contract management software

Excellent interpersonal skills are necessary to develop strong working relationships with internal and external contacts

Benefits

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.

Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.

Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.