Contracts Technician Associate

Ensemble Health Partners; Kentucky; Hybrid; USD 46,900 - 89,850; Full time

Benefits offered by this job

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Job summary

Ensemble Health Partners is seeking a Contracts Technician Associate to support client needs related to Insurance contract management. The role involves interpreting contract language, government payer reimbursement, and activities such as file balancing, account/report reviews, and peer audits.

Ideal candidates have hospital or physician insurance contract build experience, managed care exposure, and familiarity with contract management platforms.

Qualifications

• Experience interpreting Insurance contract verbiage and govt payer reimbursement concepts.
• Experience in hospital or physician insurance contract builds is preferred.
• Familiarity with contract audits and daily maintenance of contract management systems.

Responsibilities

• Balance files and maintain contract management system on a daily basis.
• Track key update dates for reimbursement rules (Medicare DRG updates, annual rate changes).
• Conduct contract build testing to ensure accuracy before production.
• Perform contract audits on completed builds as required.
• Provide support to revenue cycle teams regarding calculations and reimbursement from contract builds.

Skills

Hospital/physician insurance contract

Managed Care experience

Contract management platform

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:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement

This position pays between $46,900.00 - $89,850.00/based on experience

The 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
• Maintain 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 tools such as 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.
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