Payer Maintenance Coordinator
iRhythm TechnologiesFull Time
Entry Level & New Grad, Junior (1 to 2 years)
Candidates should possess at least 4 years of experience in the hospital industry, focusing on payer contracts, facility reimbursement methodologies, and adjudication rules. Familiarity with hospital billing, claims management, and payer contracting is necessary, along with in-depth knowledge of commercial payer, Medicare, and Medicaid reimbursement models for inpatient and outpatient services. Proficiency in coding systems such as CPT, HCPCS, DRG, Revenue Codes, Occurrence Codes, and ICD-10 is required, as is the ability to learn new reimbursement methodologies. A Bachelor's degree in Healthcare Administration, Finance, Accounting, or Business Administration is preferred.
The Hospital Contract Definition Analyst will analyze, define, and maintain hospital payer contracts using Experian Health's Contract Manager software, ensuring accurate modeling of reimbursement methodologies for claims and patient estimates. This role involves analyzing complex contract provisions, researching payer websites and regulatory sources, and validating system-generated valuations against client claims. The analyst will also ensure accurate contract implementation, respond to valuation-related support cases, participate in meetings, and contribute to process improvement initiatives.
Travel booking platform for flights, hotels, rentals
Expedia Group operates in the travel industry, offering a wide range of services for travelers and travel-related businesses. It connects users with options for flights, hotels, car rentals, vacation packages, and activities through its various brands, including Expedia, Hotels.com, and Vrbo. Travelers can easily find and book trips that match their preferences and budgets. The company earns revenue primarily through commissions on bookings and advertising from travel service providers looking to promote their offerings. Additionally, Expedia Group supports its partners by providing access to valuable data and technology, helping them improve their operations and grow their businesses. The goal of Expedia Group is to create a seamless travel experience for users while maximizing the potential of its partners.