Responsible for maintaining TUMG Master Fee Schedule, tracks payer fee schedule updates and coordinates with vendors to ensure timely and accurate uploads and performing in-depth payer reimbursement and variance analysis, supporting payer negotiations, and advising on strategic pricing decisions. This role ensures contract compliance, coordinates with A/R team to resolve over/underpayments, and supports efforts to optimize revenue cycle operations and reimbursement accuracy through collaboration with internal teams, payor relations, and third-party vendors.

Minimum Education

• Bachelor’s Degree with two (2) years’ experience in revenue cycle management, medical coding, and payer payment variances.

Preferred Qualifications

• Master’s Degree: minimum four (4) years’ experience in healthcare setting preferred.
• Demonstrated proficiency in the utilization of Data Visualization tools such as Power BI.
• Experience with hospital or clinical charge description master (CDM) and payer fee schedules; knowledge of global fees, professional fees, and technical fees; experience in medical billing, collections, and coding practices and procedures.