Strategic Revenue Integrity & Contracting Specialist

Mile Bluff Medical Center; Mauston (WI); On-site; USD 65,000 - 90,000; Full time

Job summary

Mile Bluff Medical Center in Wisconsin is seeking a Contracting and Revenue Integrity Specialist to support the CFO in payer contracting, reimbursement analysis, and revenue optimization across hospital, clinics, nursing homes, and retail pharmacies. The role maintains the CDM, analyzes reimbursement impacts, and assists with contract negotiations to ensure compliant, optimal charging practices.

The position requires collaboration with Administration, Finance, Patient Financial Services, Clinic

Qualifications

• Associate degree or higher in business, accounting or healthcare admin preferred.
• Experience with chargemaster management and revenue integrity required.
• Knowledge of Medicare/Medicaid, CMS and payer contract expectations.

Responsibilities

• Coordinate negotiation, renewal, and implementation of managed care contracts with payers.
• Review care agreements and analyze reimbursement methodologies and pricing.
• Perform financial analyses to assess impact of contract terms.
• Maintain payer contract files and renewal schedules.
• Develop reimbursement and contract performance reports for CFO.
• Maintain CDM and update charging structures.
• Coordinate enrollment and revalidations for providers with payers.
• Identify opportunities to improve charge capture and reimbursement accuracy.
• Monitor billing compliance and payer requirements.

Skills

Payer contracting

Reimbursement analysis

Charge Description Master (CDM)

Regulatory compliance

Financial reporting

Contract negotiations

Microsoft Excel

Healthcare financial tools

Education

Associate degree in Business Administration

Associate degree in Accounting

Associate degree in Healthcare Administration

Tools

Microsoft Excel

Healthcare financial reporting tools

Job description

Mile Bluff Medical Center in Wisconsin is seeking a Contracting and Revenue Integrity Specialist to support the CFO in payer contracting, reimbursement analysis, and revenue optimization across hospital, clinics, nursing homes, and retail pharmacies. The role maintains the CDM, analyzes reimbursement impacts, and assists with contract negotiations to ensure compliant, optimal charging practices.

The position requires collaboration with Administration, Finance, Patient Financial Services, Clinic