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Contract Loader, Healthcare Revenue Integrity Program

Exela Technologies
183 Plaza Drive (Show on map)
Jan 01, 2025

Qualifications:

Bachelor's Degree or Equivalent Experience

Experience:

Minimum of 5 years loading and programming third party payer contractual agreements

Understanding of third-party payer contractual terms and conditions

Experience with SQL, Microsoft Excel and Microsoft Word

Key Responsibilities:

* Load contractual terms and conditions in MCP Revenue Integrity Program

* Review each account for accuracy of contractual obligation/expected reimbursement calculation

* Review each account for accuracy of contractual allowance calculation

* Review and enhance all client specific programming daily

* Provide and oversee test environment

* Test all programming client specific enhancements prior to release

* Responsible for quality assurance of all programming related functions

* Assist with all Client services including underpayments, contractual allowances, contract modeling, and government audits

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