TruBridge · 4 hours ago

Contract Management Biller

United States

Full-time, Contract

Remote

Mid, Senior Level

5+ years exp

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Information Technology

Hiring Manager

Anna Golub

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Responsibilities

Proactively researches and identifies claim reimbursement discrepancies and takes the necessary steps to resolve the issue and collect maximum reimbursement from payers for services provided.

Reviews and interprets payer contracts and associated documentation to ensure accurate modeling and works with the Contract Management modeling team to ensure accurate calculations and communicate any known updates or changes needed.

Works 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 as well as identifying overpayment refunds due from the client to payors as required.

Manage Contract Management processes for multiple clients.

Maintain tracking system and reporting on appeals and under payment recoupments.

Other duties as required.

Qualification

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TruBridge Contract ManagementHealthcare billing processesContract ManagementClaim reimbursement