Contracts Technician Associate

Ensemble Health Partners; Columbus (OH); On-site; USD 46,900 - 89,850; Full time

Benefits offered by this job

Bonus incentives

Tuition reimbursement

Comprehensive benefits

Job summary

Ensemble Health Partners seeks a Contracts Technician Associate to support hospital and physician insurance contract management, including interpretation of contract verbiage and reimbursement rules. This remote role requires willingness to travel to client sites as needed.

Ideal candidates have 2–4 years in healthcare payer reimbursement, hospital or physician contract build experience, and familiarity with contract management platforms.

Qualifications

• Experience building hospital or physician insurance contracts.
• Understanding of payer reimbursement terms and rules.
• Familiarity with contract management software used for reimbursement.
• Ability to interpret complex insurance contract verbiage.

Responsibilities

• Conduct file balancing and daily maintenance of the contract management system.
• Maintain schedule of key update dates for reimbursement rules (Medicare DRG, etc.).
• Complete contract build testing before production rollout.
• Perform contract audits on completed builds as required.
• Support revenue cycle teams with calculations and reimbursement questions.
• Participate in knowledge-sharing to grow contract management expertise.

Skills

Insurance contract build

Managed Care experience

Contract interpretation

Contract management platform

Education

High School Diploma or GED

Job description

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!O.N.E Purpose:Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.The Opportunity:CAREER OPPORTUNITY OFFERING:Bonus IncentivesPaid CertificationsTuition ReimbursementComprehensive BenefitsCareer AdvancementThis position pays between $46,900.00 - $89,850.00/based on experienceThe 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, govt payer reimbursement, and support functions such as file balancing, account/report review and peer audits.Ideal Candidates will have Hospital or Physician Insurance contract build experience, Managed Care experience, as well as contract management platform experience related to reimbursement and contracted rates.Essential Functions:Conduct file balancing and daily maintenance of contract management system 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.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.Completes necessary training modules and work building sessions to become Coordinates and actively participates with other associates and leaders on the team to expand and grow their knowledge of managed care organizations, contracts and products.Participates with the Contract Management knowledge share opportunities to expand their knowledge base and role.Requirements:High School Diploma or GED2-4 years’ experience in healthcare industry relative to payer reimbursement to include:Hospital or Physician Insurance contract build experienceManaged Care experienceInterpretation of Insurance contract verbiageContract management platform experience related to reimbursement and contracted rates.Revenue Cycle ManagementExperience We Love: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.Certifications:Must obtain CRCR certification within 9 months of hire – employer paid#LI-JW#LI-JW1#LI-RemoteJoin an award-winning companyFive-time winner of “Best in KLAS” 2020-2022, 2024-2025Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-202422 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023Energage Top Workplaces USA 2022-2024Fortune Media Best Workplaces in Healthcare 2024Monster Top Workplace for Remote Work 2024Great Place to Work certified 2023-2024InnovationWork-Life FlexibilityLeadershipPurpose + ValuesBottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: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.Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.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.Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [e-mail] posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.Employment Disclaimers – Ensemble