If you’re the kind of person who sees an underpayment and immediately wants to prove it, document it, and get every dollar back, this role is for you. You’ll audit claim reimbursements using TruBridge contract management tools, interpret payer contracts, and work appeals end-to-end to drive maximum reimbursement.
About TruBridge
TruBridge supports providers, patients, and communities with solutions that strengthen both the financial and clinical sides of healthcare delivery. Their teams help hospitals and clinics improve reimbursement accuracy and revenue cycle performance.
Schedule
- Full-time
- Remote (US)
What You’ll Do
- Research claim reimbursement discrepancies and take steps to resolve issues and recover maximum reimbursement
- Review and interpret payer contracts and related documentation to support accurate modeling
- Partner with the contract management modeling team to confirm terms are modeled correctly and flag updates/changes
- Communicate with payers and client payer representatives via phone, online portals, and written correspondence based on appeal processes
- Pursue underpayment appeals and identify overpayment refunds when required
- Manage contract management workflows for multiple clients at once
- Maintain tracking and reporting for appeals and underpayment recoupments
- Support other related duties as needed
What You Need
- 3+ years of healthcare billing experience with multiple payers
- 1+ year of healthcare contract management auditing experience (or comparable experience)
- Above-average knowledge of healthcare billing processes
- High self-motivation and strong organizational skills
- Ability to work independently with strong critical thinking
- Strong collaboration and communication skills
Benefits
- Not listed in the posting
If you’re good at turning “that doesn’t look right” into “we recovered the money,” this is a strong remote role.
Happy Hunting,
~Two Chicks…