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About the role
Key responsibilities & impact- This position is responsible for the successful implementation and support of the applications to include entering and maintaining billings plans and funding, systems and processes to support the company’s billing department, troubleshooting all system application issues that arise from end users, and support medical/retail store operations.
- Plan set up and configuration.
- Manually calculate claim allowable if applicable.
- Analyze multiple Client/Payer Contracts (Commercial, Managed Medicare/Medicaid, straight Governmental, and Workers' Compensation)
- Analyze all payer policies as they pertain to billing and system set up.
- Validate the accuracy of all payer contracts including language, and rates, and are loaded and priced accurately.
- Cross reference claims against fee schedules, contracted rates, payer policies, etc. to validate the system and claims are being paid based on contractual obligations.
- Requires a thorough understanding of the applications and related business processes assigned.
- Fully understands the purpose of each solution as it relates to the business's strategic direction.
- Requires an understanding of the features of each system, including their core responsibilities and how they utilize each solution for their specific job requirements.
- Requires an understanding of insurance carriers to support internal workers to resolve issues during the day.
- Support external resources through the various companies from plan designs, insurance inquiries, and billing support issues.
- Day- to- day support of practice locations.
- Application configuration, testing, and support
Requirements
What you’ll need- The ability to "train the trainers" and train individuals in unique circumstances.
- Requires an understanding of 837's and 835's.
- A high school diploma or GED
- Experience interpreting contracts that include rates, amendments, terminology, and the insurance industry process and procedures.
- Strong decision-making and problem-solving skills
- Familiarity with the CPTs, HCPCs, ICD-10, and CMS 1500 claim form
- Strong analytical and mathematical skills
- Prior experience with healthcare accounts receivables
- Understanding of managed care contracts
- Proficient in Microsoft Excel, Word, PowerPoint, Outlook
- Good to excellent spelling, grammar and written communication skills
- Ability to analyze and resolve unpaid claims issues
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Dayforce Website LinkedIn All Job Openings 5001 - 10000 employees 👥 HR Tech ☁️ SaaS 💰 $1G Post-IPO Debt - Dayforce on 2024-03 HR Tech
- SaaS Dayforce is a cloud-based human capital management (HCM) platform that delivers HR, payroll, workforce management, and talent management solutions for employers. It is designed as an integrated SaaS application to help organisations manage employee lifecycle processes, time and attendance, payroll processing, benefits administration, and workforce analytics from a single system. Dayforce is primarily sold to businesses as an enterprise HR/payroll solution. Contract Configuration Specialist – RCM Job not on LinkedIn 🔥 9 minutes ago 🇺🇸 United States – Remote ⏳ Contract/Temporary 🟡 Mid-level 🟠 Senior ✨ Contract Specialist Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- This position is responsible for the successful implementation and support of the applications to include entering and maintaining billings plans and funding, systems and processes to support the company’s billing department, troubleshooting all system application issues that arise from end users, and support medical/retail store operations.
- Plan set up and configuration.
- Manually calculate claim allowable if applicable.
- Analyze multiple Client/Payer Contracts (Commercial, Managed Medicare/Medicaid, straight Governmental, and Workers' Compensation)
- Analyze all payer policies as they pertain to billing and system set up.
- Validate the accuracy of all payer contracts including language, and rates, and are loaded and priced accurately.
- Cross reference claims against fee schedules, contracted rates, payer policies, etc. to validate the system and claims are being paid based on contractual obligations.
- Requires a thorough understanding of the applications and related business processes assigned.
- Fully understands the purpose of each solution as it relates to the business's strategic direction.
- Requires an understanding of the features of each system, including their core responsibilities and how they utilize each solution for their specific job requirements.
- Requires an understanding of insurance carriers to support internal workers to resolve issues during the day.
- Support external resources through the various companies from plan designs, insurance inquiries, and billing support issues.
- Day- to- day support of practice locations.
- Application configuration, testing, and support 🎯 Requirements
- The ability to "train the trainers" and train individuals in unique circumstances.
- Requires an understanding of 837's and 835's.
- A high school diploma or GED
- Experience interpreting contracts that include rates, amendments, terminology, and the insurance industry process and procedures.
- Strong decision-making and problem-solving skills
- Familiarity with the CPTs, HCPCs, ICD-10, and CMS 1500 claim form
- Strong analytical and mathematical skills
- Prior experience with healthcare accounts receivables
- Understanding of managed care contracts
- Proficient in Microsoft Excel, Word, PowerPoint, Outlook
- Good to excellent spelling, grammar and written communication skills
- Ability to analyze and resolve unpaid claims issues Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Contract Specialist 🔥 4 hours ago Pellera Technologies 1001 - 5000 🏢 Enterprise 🔒 Cybersecurity 🤖 Artificial Intelligence Website LinkedIn All Job Openings Contract Specialist responsible for reviewing and negotiating IT contracts for legal team operations. Working remotely to support the US legal team in contract management. 🇺🇸 United States – Remote ⏳ Contract/Temporary 🟡 Mid-level 🟠 Senior ✨ Contract Specialist Contract Specialist 🔥 6 hours ago Velocity, A Managed Solutions Company 501 - 1000 ☁️ SaaS 📡 Telecommunications 🤝 B2B Website LinkedIn All Job Openings Contract Specialist managing contracts including drafting, negotiation, and compliance for a tech solutions company. Collaborating with stakeholders and ensuring legal adherence throughout contract lifecycle. 🇺🇸 United States – Remote ⏳ Contract/Temporary 🟡 Mid-level 🟠 Senior ✨ Contract Specialist Senior Contract Specialist 🔥 7 hours ago CTR Management Group, LLC 11 - 50 💼 Consulting 🏛️ Government 🏥 Healthcare Website LinkedIn All Job Openings Senior Contract Specialist supporting CDC procurement operations in cradle-to-grave federal contracting. Performing acquisition support including pre-award and post-award functions with workflow efficiency. 🇺🇸 United States – Remote ⏳ Contract/Temporary 🟠 Senior ✨ Contract Specialist Lead Services Specialist – Contract Performance Management 🕒 4 days ago Switzerland Global Enterprise 51 - 200 💼 Consulting 📦 Logistics 📣 Marketing Website LinkedIn All Job Openings Contract Performance Manager in Gas Power ensuring contract compliance and project execution. Collaborating with various teams to optimize operational efficiency and customer satisfaction. 🇺🇸 United States – Remote 💵 $91.4k - $152.2k / year ⏳ Contract/Temporary 🟠 Senior ✨ Contract Specialist Contract Specialist 🕒 6 days ago Higher Logic 201 - 500 💼 Consulting 📣 Marketing ☁️ SaaS Website LinkedIn All Job Openings 🇺🇸 United States – Remote 💰 $55M Private Equity Round on 2016-09 ⏳ Contract/Temporary 🟡 Mid-level 🟠 Senior ✨ Contract Specialist 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Is Remote Rocketship legit? Privacy policy Terms of service Job board SEO course OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs