Opportunity Description
CTG is seeking an experienced Revenue Cycle Analyst – HB Contracting & Reimbursement. The Revenue Cycle Analyst specializes in Epic Resolute Hospital Billing (HB) Expected Reimbursement Contracts, Claims, and Remittance configurations.
This role serves as the structural bridge between managed care payor negotiations and technical revenue execution. The analyst is responsible for translating complex payor contract matrices into system logic, eliminating financial leakage through automated variance detection, and maintaining end-to-end billing integrity from initial claim generation to final remittance posting.
**Key Responsibilities**
+ Contract Architecture: Build, maintain, and model complex commercial and government payor contracts within the Epic BCC master file using advanced rule logic (CER).
+ Underpayment & Variance Mitigation: Configure Remittance Options Profiles (RMO) and automated workqueues (WQV) to intercept, flag, and route payment variances...
This role serves as the structural bridge between managed care payor negotiations and technical revenue execution. The analyst is responsible for translating complex payor contract matrices into system logic, eliminating financial leakage through automated variance detection, and maintaining end-to-end billing integrity from initial claim generation to final remittance posting.
**Key Responsibilities**
+ Contract Architecture: Build, maintain, and model complex commercial and government payor contracts within the Epic BCC master file using advanced rule logic (CER).
+ Underpayment & Variance Mitigation: Configure Remittance Options Profiles (RMO) and automated workqueues (WQV) to intercept, flag, and route payment variances...
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