Ensemble Health Partners
Ensemble Health Partners
5.001 – 10.000 Angajați
AsigurăriConsultanțăLogistică
Ensemble Health Partners oferă servicii de gestionare a ciclului veniturilor pentru spitale, sisteme de sănătate și grupuri de medici afiliate. Oferta sa integrată combină profesioniști cu experiență și certificați în gestionarea ciclului veniturilor cu tehnologii avansate și inteligență artificială, pentru a ajuta organizațiile din domeniul sănătății să îmbunătățească încasările, să soluționeze refuzurile și plățile insuficiente, să controleze costurile și să creeze o experiență financiară mai consecventă pentru pacienți. Compania colaborează îndeaproape cu organizațiile furnizorilor de servicii medicale pentru a consolida operațiunile financiare și a sprijini creșterea durabilă.

Remote Epic Contract Management Technician – Ohio

Support Epic contract management and reimbursement operations as part of Ensemble Health Partners’ work delivering technology-enabled revenue cycle services to hospitals and physician groups.

Descriere

  • Address client needs related to contract management.
  • Load contracts and verify their accuracy.
  • Resolve contract management issues and train users.
  • Balance files and maintain the contract management system each day.
  • Work with Ensemble clients on contract accuracy and reimbursement questions.
  • Help Contract Modeling Specialists troubleshoot issues, review contracts, and navigate Epic.
  • Track important reimbursement rule updates, including Medicare OP, DRG, and managed care changes.
  • Use modeling tools and reports to find payment variances for underpayment appeals and follow-up.
  • Help revenue cycle teams with calculation and reimbursement questions.
  • Complete training modules and practice sessions for loading contracts in Epic.
  • Validate contracts supporting client financial initiatives and reimbursement-based reserve calculations.
  • Share knowledge, contribute to training, and support team development.
  • Review Epic upgrade Nova Notes and complete related contract builds.
  • Import and export Epic databases for reporting and troubleshooting.
  • Use Epic Toolkits for quarterly and annual Medicare OP and IP updates.

Cerințe

  • At least two years of experience related to payer reimbursement.
  • At least two years of Epic certification in RHB390 or RPB390.
  • Active Epic Contract Management certification in RHB390 (acute) and/or RPB390 (physician).
  • Epic RHB390 or RPB390 Contract Administration certification.
  • HFMA Certified Revenue Cycle Representative credential.
  • High school diploma or GED.
  • Willingness and ability to travel to and work onsite at client, temporary, or corporate offices as business needs require.
  • Knowledge of managed care organizations, contracts, and products, or relevant healthcare or payer experience.
  • Ability to interpret all parts of a contract, especially implementation and operational provisions.
  • Microsoft Excel proficiency is recommended.
  • Proficiency with Epic and/or other contract management software.
  • Strong interpersonal skills.
  • Ability to manage multiple priorities in a fast-paced setting.
  • Curiosity and openness to innovation, including AI.
  • Must live and be authorized to work in the United States.

Beneficii

  • Bonus incentives.
  • Paid certification programs.
  • Tuition reimbursement.
  • Comprehensive benefits covering healthcare, time off, retirement, and well-being programs.
  • Opportunities for career advancement.
  • Professional development.
  • Quarterly and annual incentive programs.
  • Work-life flexibility.
  • Remote work arrangement.
  • Professional certification relevant to the associate’s field.
  • Equal employment opportunity and reasonable accommodations.

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