Job Description
• Load and maintain managed care, government, and special contracts into the Epic system with a high level of accuracy
• Validate and test reimbursement functionality within Epic to ensure proper configuration and payment outcomes
• Collaborate with managed care plans and internal stakeholders to support timely and accurate contract implementation
• Execute all steps required to operationalize contracts following negotiation and approval
• Monitor contract performance and troubleshoot discrepancies related to reimbursement
• Ensure compliance with healthcare regulations and organizational standards
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience
• Experience building out contracts in Epic ( not exposure/testing )
• Epic Experience
• Contract Modeling Experience
• Strong Revenue Cycle Knowledge ( life cycle of a claim , reimbursement knowledge )
• 3+ years Epic Resolute PB or 3+ years Epic HB Experience
• EPIC Resolute Hospital Billing Expected Reimbursement Contracts Administration Certified/Credentialed
• EPIC Resolute Professional Billing Reimbursement Contracts Certified/Credentialed
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.