Contract Management & Revenue Integrity Specialist

Added
2 hours ago
Type
Full time
Salary
Salary not provided

Related skills

contract negotiations fee schedules revenue integrity payer contracting athena ehr

📋 Description

  • Lead all new payer contract negotiations from outreach to execution.
  • Manage payer allowable tables within Athena and other systems.
  • Identify and resolve payment variances between rates and remittances.
  • Serve as primary contact for payer inquiries and pricing projects.
  • Generate regular reporting on contract performance and no-go status.

🎯 Requirements

  • Associate’s degree in healthcare administration, business, finance, or equivalent experience.
  • Minimum 3–5 years in payer contracting, allowable management, or revenue integrity.
  • Strong understanding of fee schedules, reimbursement methodologies, and contract terms.
  • Experience managing allowable tables and rate configurations in Athena EHR.
  • Proficiency in identifying and resolving payment variances and mismatches.
  • Athena EHR experience preferred; MSO structures a plus.
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