- Remote, United States +1 more
- Remote
- Contract
- $23–$40 per hour
- 1+ years
Perform day to day duties and testing of contract implementation, including UAT to ensure that systems accurately reflect a contract's negotiated terms.
Locations (2)
- Pennsylvania, United States
- United States
Compensation
Pay Range: $23.23 - $39.61 per hour
Responsibilities
- Perform audits of provider setup within the provider information system to ensure accurate contract implementation and subsequent claims processing
- Review and price contract related pends to ensure claims payment accuracy
- Ensure accurate contract implementation and subsequent claims processing through provider setup, UAT testing, etc. on basic Change Requests (CRs) (i.e.RHCs/FQHCs/fee schedule updates)
- Troubleshoot and problem solve contract implementation issues related to basic system configuration
- Review contracts and assign pay classes and applicable provider information based on contract language