Strategic Revenue Integrity & Contracting Specialist

milebluff; Mauston (WI); On-site; USD 70,000 - 90,000; Full time

Job summary

Mile Bluff Medical Center seeks a Contracting and Revenue Integrity Specialist to support the CFO in managing payer contracting, reimbursement analysis, and revenue optimization for hospital and affiliated services. The role maintains the CDM, monitors reimbursement performance, and ensures billing regulatory compliance across Medicare, Medicaid, and commercial payers.

As a liaison across Administration, Finance, Patient Financial Services, and Clinical Departments, you will coordinate contract

Qualifications

• Associate degree in Business Administration, Accounting, or Healthcare Administration.
• Minimum three years of experience in healthcare finance, reimbursement, managed care contracting, chargemaster management, revenue integrity, or related healthcare operations.
• Experience with Rural Health Clinics or rural healthcare organizations preferred.

Responsibilities

• Coordinate negotiation, renewal, and implementation of managed care contracts with commercial insurers, Medicare Advantage plans, Medicaid Managed Care Organizations, and other payers.
• Review care agreements and analyze reimbursement methodologies, fee schedules, and payment policies.
• Perform financial analyses to assess the impact of proposed contract terms and reimbursement changes.
• Maintain payer contract files, renewal schedules, and reimbursement documentation.
• Develop reimbursement and contract performance reports and provide recommendations to the CFO.

Skills

Analytical skills

Financial modeling

Excel proficiency

Project management

Communication

Independent work

Education

Associate degree in Business Administration, Accounting, Healthcare Administration

Tools

Microsoft Excel

Job description

Mile Bluff Medical Center seeks a Contracting and Revenue Integrity Specialist to support the CFO in managing payer contracting, reimbursement analysis, and revenue optimization for hospital and affiliated services. The role maintains the CDM, monitors reimbursement performance, and ensures billing regulatory compliance across Medicare, Medicaid, and commercial payers.

As a liaison across Administration, Finance, Patient Financial Services, and Clinical Departments, you will coordinate contract