Related skills
pricing cpt hcpcs icd-10 contract_configuration📋 Description
- Read and interpret physician, facility, and ancillary contracts.
- Configure and maintain provider contracts in Centivo pricing systems.
- Interpret and apply contract terms, fee schedules, and reimbursements.
- Configure pricing mechanisms and perform tests in Centivo platform.
- Collaborate with Network Management, Provider Relations and Claims teams.
- Analyze claim impact reports to ensure pricing accuracy.
🎯 Requirements
- Identify when platform limits require sending contract to external pricing vendor.
- Perform contract reviews for accuracy in configuration.
- Analyze claims for pricing accuracy against contract requirements.
- Provide exemplary customer service when resolving configuration issues.
- Demonstrate strong analytical and problem-solving skills.
- Work independently and as part of a team.
- Multi-task and apply critical thinking skills.
- Strong attention to detail.
🎁 Benefits
- Salary USD 55K–60K per year.
- Equity and Bonus offered.
- Remote work arrangement.
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