Remote Contracts & Billing Systems Architect

HR HealthCare; York (York County); On-site; USD 60,000 - 80,000; Full time

Job summary

HR HealthCare is looking for a Contracts Administrator/Billing Liaison to work fully remotely. This role is crucial for managing payer contracts, ensuring accurate billing and compliance. Responsibilities include translating complex contracts into actionable system logic, monitoring updates, and collaborating cross-functionally in the billing process.

Applicants should have at least 3 years of experience in healthcare billing and possess strong analytical skills. A collaborative spirit and proficiency in systems like Brightree are highly valued.

Qualifications

• 3+ years of experience in healthcare billing, contracting, or revenue cycle operations.
• Experience working with payer contracts and reimbursement methodologies.
• Understanding of HCPCS codes, modifiers, and DME billing requirements.

Responsibilities

• Analyze payer contracts and implement billing logic within systems.
• Monitor updates and maintain billing configurations for compliance.
• Manage user access and audit requirements for insurance portals.
• Collaborate with various departments to ensure accurate payer agreements.

Skills

Contract interpretation and analytical thinking

Revenue cycle and reimbursement expertise

Attention to detail and accuracy

Strong communication and documentation skills

Ability to work independently and cross-functionally

Organizational and problem-solving skills

Education

Associate’s degree

Bachelor’s degree in Healthcare Administration or Business

Tools

Brightree or similar billing platforms

Excel

Payer portals and systems

Job description

HR HealthCare is looking for a Contracts Administrator/Billing Liaison to work fully remotely. This role is crucial for managing payer contracts, ensuring accurate billing and compliance. Responsibilities include translating complex contracts into actionable system logic, monitoring updates, and collaborating cross-functionally in the billing process.

Applicants should have at least 3 years of experience in healthcare billing and possess strong analytical skills. A collaborative spirit and proficiency in systems like Brightree are highly valued.