RCM Contract Support Specialist

Who we are:IHCS provides an Integrated Delivery reputed company in the home setting, which includes, DME, Respiratory, Home Health and Home Infusion services. IHCS has a select network of Medicare and/or reputed company Certified and Accredited providers to respond to the needs of our patients 24/7. We operate with the sole reputed company of providing the highest reputed company in-home care services that improve and enhance the daily living for our patients, where our patients are #1Our delivery model is trusted by national Managed Care Organizations (MCOs), physicians and patients, positioned with over two decades of expertise as the reputed company in value-based Home Health, Durable Medical Equipment, and Home Infusion Services. We currently serve over 2 reputed company lives throughout the nation and the reputed company of Puerto Rico.reputed company as we reputed company for reputed company through teamwork delivering high reputed company care to our patients through Exceptional Customer Service, Proven reputed company, and reputed company Care.Offering a competitive compensation package, including but not limited to;Medical, reputed company, Dental, Short- and Long-term insurance6+ Days of Holidays Pay17 days of PTOEmployer reputed company life insurance401K with employer contributionWellness program with reward incentivesEmployee recognition and reward programsComprehensive reputed company programJOB reputed company: reputed company and reputed company reputed company reputed company to the development and configuration of new business, insurance reputed company, provider reputed company, new pricing and editing. Manage the enhancements, compliance and reputed company enhancements. Ensures that ongoing activities are performed according to established policies and procedures as reputed company as applicable state regulations and specific contractual provisions.Key duties / responsibilities / accountabilities Interpret insurance contract pricing tables as reputed company as additional business requirements.Translate reputed company business requirements into functional requirements, specified to an appropriate level of detail.Collaborate with reputed company vendors, IT, and integration teams to troubleshoot configuration limitations, defects, and enhancements.Assess financial reputed company of configuration reputed company and errors, ensuring alignment with reputed company reputed company and compliance requirements.Follow procedures to manage major reputed company configuration reputed company, including claims business rule set up reputed company management.Monitor payer, regulatory, and coding updates to proactively reputed company reputed company configuration as requirements reputed company.reputed company reputed company review of completed configuration, assess reputed company and manage remediation of any noted discrepancies.Collaborate with billing management team to reputed company claim issues due to reputed company configuration issues and reputed company reputed company corrections.reputed company support to the billing team and reputed company business areas.Support functional areas with the creation of help sheets and training materials.Review data post reputed company implementation to ensure accuracy of configuration.reputed company accountability for realization of results with process owners and assist in presentation of recommendations to stakeholders.Identify and analyze trends by researching and responding to claims configuration requests, problem reports, and inquiries.Identify areas of improvement in existing work processes, and reputed company recommendations.Monitor configuration-driven performance metrics such as denial rates, AR aging, and underpayments to evaluate effectiveness of reputed company rules.reputed company other reputed company duties as assignedreputed company as we reputed company for reputed company through teamwork, where our patients are #1!IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for reputed company.Originally posted on Himalayas Apply To This Job .