Base Career helps you apply smarter for this job.
Key skills for this role
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.
At Zelis, AI is woven into the fabric of how we work. Every associate is expected - and empowered - to partner with AI to challenge the status quo, accelerate innovation, and amplify their impact. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are.
Set up basic contract loads: simple single case agreements (SCAs), basic % of billed charges (BCs), basic % of Medicare, general carve-out codes and basic fee schedule set up.
Interpret complex contract terms, analyze reimbursement methodologies, and rate structures (e.g., DRG, APC, CPT/HCPCS, ICD-10).
Load, maintain , and audit client contracts within the adjudication system.
Validate and test contract configurations for claims pricing accuracy.
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
Boston, USA
Morristown, USA
Hyderabad, IND
Hyderabad, IND
Boston, USA
Boston, USA
Morristown, USA
Morristown, USA
St. Petersburg, USA
Hyderabad, IND
Hyderabad, IND
Maintain fee schedule in contract databases and apply annual escalators for client auto renewals.
Link contracts to payer products, update and maintain provider groups within client databases to ensure seamless claims routing.
Handles confidential material on a regular basis and is responsible for protecting the confidentiality of such information within the established guidelines of Company and law. (HIPAA Compliance)
Bachelor’s Degree or equivalent work experience in Healthcare Revenue Cycle Management/Contracting field
Microsoft product proficiency . Must be an intermediate to expert user of Excel
Posses s solid analytical and math skills; self-motivated and detail oriented.
Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.
Private healthcare financial technology company serving payers, providers, and healthcare consumers with claims, payment, and member-engagement solutions.
Visit company websiteJobs and hiring trendsUSD 54000-68400 yearly / year
Full-time
Mid
Hybrid
Apply faster on company sites with our extension.