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Medical Billing- Payer Strategy & Contracting Specialist
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Job Description
- Req#: 6397
Employer Industry: Healthcare Revenue Cycle Management
Why consider this job opportunity:
- Eligible for a performance-based incentive plan, rewarding great work
- Opportunity to earn a referral bonus by helping to grow the team
- Potential for career advancement within a leading healthcare solutions provider
- Collaborative and fast-paced work environment with diverse personalities
- Comprehensive training provided to ensure proficiency in billing software
What to Expect (Job Responsibilities):
- Conduct contract negotiation discussions on behalf of clients with payers
- Assist in reviewing, interpreting, and maintaining payer contracts and fee schedules
- Support negotiation preparation by compiling rate comparisons and reimbursement trends
- Identify and escalate contract discrepancies impacting payment performance
- Collaborate with finance and AR teams to ensure payer terms are accurately reflected in billing systems
What is Required (Qualifications):
- High School Diploma or GED
- At least two to four (2-4) years of medical billing and claims resolution experience
- Strong understanding of payer contracts, reimbursement methodologies, and healthcare compliance
- Proficiency with Excel, payer portals, and contract management databases
- Strong oral, written, and interpersonal communication skills
How to Stand Out (Preferred Qualifications):
- AAHAM and/or HFMA certification
- Experience with offshore engagement and collaboration
- Familiarity with commercial and government payers in the US healthcare system
#HealthcareRevenueCycle #ContractNegotiation #CareerOpportunity #PerformanceIncentives #HealthcareCompliance
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