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Cura is growing and we are always interested in meeting talented individuals who are passionate about revenue cycle and the recovery of underpayments.  We operate as an extension of our client's business office and therefore fulfill many roles in the revenue cycle. 

From data management and contract modeling to underpayment analysis and collections follow-up, if you are passionate about the healthcare revenue cycle, possess an analytical problem solving mindset and enjoy an energetic team environment we would like to hear from you.

We are currently seeking applicants for the roles listed below.  For consideration, please forward your resume referencing position of interest along with a brief summary of why you are interested in joining the Cura team to talent@curarcm.com.

Current Openings:

Consulting Manager

Audit Specialist

Collections Specialist

Denial Management Specialist

Senior Programmer Analyst

Consulting Manager

 

Position Summary:  Primarily responsible for the trending analysis of hospital claims data and performing root cause analysis, including the thorough review of managed care contracts. This also includes working with internal stakeholders to increase operational efficiency. 

 

Essential Duties and Responsibilities:

  • Analyze and review hospital claims data, 837/835 data, and other data sources

  • Perform trending analysis to identify contractual underpayments and billing errors

  • Develop reports and communicate project status to internal and client team members

  • Support implementation initiatives, including data testing and analysis

  • Compile and create client reporting documents

  • Work with hospital clients to obtain necessary information or data to pursue underpayments or correct billing errors

  • Work cross-functionally with IT, Payment Integrity, and Billing & Coding Departments

  • Conduct industry research and stay up to date on changes in the healthcare industry, including payer policy updates, coding updates and be able to assess and perform data analysis

  • Ability to balance day-to-day demands and long-term project initiatives

  • Maintain a professional attitude and approach with colleagues, clients, and payors 

  • Perform other duties as assigned

  • Strong SQL and Excel skills

  • Role will report directly to Director, Underpayment Recovery Services

 

Essential Skills and Experience:

  • Minimum 3 years of experience working in the hospital reimbursement space (revenue cycle, managed care, payment review, etc.)

  • Bachelor’s degree from a four-year college or university

  • Strong SQL skills to manage large sets of data, identify trends and perform root cause analysis

  • Excellent analytical and problem-solving skills with the ability to “think outside the box”

  • Excellent organizational and time management skills

  • Excellent communication skills, both written and verbal; ability to explain complex issues with ease

  • Experience working with ICD-10, DRG, HCPCS/CPT coding, and knowledge of other medical terminology

  • Understanding of Managed Care contracts and governmental payers (Medicare, Medicaid, etc.)

Audit Specialist

 

Position Summary:  Primarily responsible for the thorough review of managed care and other insurance contracts; comparison of such contracts against healthcare claims to identify underpayments stemming from contractual variances, denials, and billing/coding issues. 

 

Essential Duties and Responsibilities:

  • Maintain a professional attitude and approach with payors, colleagues, and clients 

  • Review and interpret customer’s managed care contracts, government-based, worker’s compensation and other payer contracts and fee schedules to ensure accurate calculations per the terms of the agreement

  • Model contract terms, rates and fee schedules in contract management software to evaluate accuracy of insurance payments

  • Assist in improving and developing internal software and solutions

  • Examine claims and calculate reimbursement based on contract terms to determine accuracy of payment through use of various reports and supporting documentation 

  • Contact insurance companies to explain and resolve underpayments and arrange for payment or adjustment processing on behalf of client 

  • Document information in appropriate Cura and client systems

  • Prepare and submit correspondence such as letters, emails, online inquiries, appeals, adjustments, reports and payment posting 

  • Monitor periodic changes in recognized coding schemes (ICD, CPT, DRG, etc.) to anticipate contract language, calculation and reimbursement changes 

  • Develop reports and communicate project status to internal and client team members

  • Performs other duties as assigned 

 

Essential Skills and Experience:

  • Minimum 2 years of experience working in the hospital reimbursement space (patient accounts, revenue cycle, managed care, payment review, etc)

  • Basic understanding of Medicare, Medicaid and third-party reimbursement guidelines

  • Experience working with ICD-10, DRG, CPT-4 and/or HCPCS coding systems

  • Knowledge of UB04s

  • Strong quantitative and analytical skills

  • Technically savvy with ability to manage large sets of data

  • Ability to identify trends and perform root cause analysis

  • Excellent time management and problem-solving skills

  • Excellent communication skills, both written and verbal; ability to explain complex issues with ease

  • Demonstrates computer proficiency including working knowledge of MS Office Suite, particularly Excel 

  • BS/BA Business or Health Administration preferred, other majors considered

Collections Specialist

 

Position Summary:  Primarily responsible for the thorough review of managed care and other insurance contracts, comparison of such contracts against healthcare claims to identify underpayments and thorough follow-up and collection of underpaid healthcare claims. 

 

Essential Duties and Responsibilities:

  • Maintain a professional attitude and approach with payors and clients 

  • Review insurance contracts to gain thorough understanding of payment methodologies 

  • Examine claims and calculate reimbursement based on contract terms to determine accuracy of payment through use of various reports and supporting documentation 

  • Contact insurance companies to explain and resolve underpayments and arrange for payment or adjustment processing on behalf of client

  • Follow up on claims in a timely fashion as outlined in departmental policies and procedures

  • Document information in appropriate RCS and client systems

  • Prepare and submit correspondence such as letters, emails, online inquiries, appeals, adjustments, reports and payment posting

  • Maintain regular contact with necessary parties regarding claims status 

  • Comply with federal and state laws, company and department policies and procedures

  • Performs other duties as assigned

 

Essential Skills and Experience:

  • Minimum 2 years of experience working in a hospital patient accounts/revenue cycle, managed care,
    or related setting 

  • Basic understanding for Medicare, Medicaid and third party reimbursement guidelines

  • Experience working with ICD-9, ICD-10, CPT-4 and/or HCPCS coding systems

  • Basic knowledge of UB04s and CMS1500s

  • Experience performing account resolution with third party payors 

  • Accounts receivable collections from payors 

  • Ability to effectively identify and communicate payor trends 

  • Experience working denials/appeals to resolution preferred

  • Organization and documentation skills to ensure timely follow-up and accurate record keeping 

  • Strong customer service orientation

  • Team player

  • Demonstrates computer proficiency including working knowledge of MS Excel and Word

  • High School diploma or equivalent

Denial Management Specialist

 

Position Summary:  Primarily responsible for review, follow up and denial management activities related to the collection of denied hospital claims. Researches and resolves account issues including identifying root cause of denials, thorough review of managed care and other insurance contracts, identifying information needed to appeal and correctly process claims; generally working through issues to collect payment as expediently as possible. 

 

Essential Duties and Responsibilities:

  • Maintain a professional attitude and approach with payors and clients 

  • Performs all appeals and denial recovery procedures needed to appropriately and accurately resolve technically denied claims

  • Evaluates, identifies, and coordinates with Clinical staff

  • Prepare and submit correspondence such as online inquiries, appeals, and letters for payment processing

  • Processes and resolves rejections and denials received from payers

  • Follow up on claims in a timely fashion as outlined in departmental policies and procedures 

  • Utilize online payor portals as appropriate to submit appeals

  • Document information in appropriate internal and client systems

  • Maintain regular contact with necessary parties regarding claims status 

  • Comply with federal and state laws, company and department policies and procedures 

  • Performs other duties as assigned

 

Essential Skills and Experience:

  • Minimum 5 years of experience working in a hospital patient accounts/revenue cycle, managed care, or related setting 

  • Experience working denials and appeals to resolution 

  • Basic understanding for Medicare, Medicaid and third party reimbursement guidelines

  • Experience working with ICD-9, ICD-10, CPT-4 and/or HCPCS coding systems

  • Basic knowledge of UB04s and CMS1500s

  • Experience performing account resolution with third party payors 

  • Accounts receivable collections from payors 

  • Experience accessing and submitting documentation through payor portals

  • Ability to effectively identify and communicate payor trends 

  • Organization and documentation skills to ensure timely follow-up and accurate record keeping 

  • Strong customer service orientation

  • Team player

  • Demonstrates computer proficiency including working knowledge of MS Excel and Word

  • High School diploma or equivalent

Senior Programmer Analyst

 

Position Summary:  Primarily responsible for the development and delivery of technology solutions to support the business objective of identifying and recovering underpayments. Collaborates with cross-functional team members throughout process to ensure objectives are met. 

 

Essential Duties and Responsibilities:

  • Develop, maintain, and operate all logic-driven and data exchange platforms required to complete Cura’s products

  • Assist in development, maintenance, and operation (as necessary) of all proprietary products and workflow tools used by Cura’s employees

  • Assist in achieving operational objectives by maintaining current IT systems, evaluating, and installing new technology, contributing information and recommendations to strategic plans and reviews, and preparing and completing action plans

  • Review, analyze and research instrumentation and business data to identify or isolate performance, functional or data defects

  • Provide mentorship and guidance to other members of the software development team, when necessary

  • Serve as a contact with third party technology partners, when necessary

  • Provide periodic technology support for other team members

  • Take appropriate precautions to ensure security and integrity of all data, which may be commercially sensitive and/or contain Protected Health Information

 

Essential Skills and Experience:

  • Minimum 8 years of experience in designing and developing medium- to large-scale software

  • Minimum 8 years of .NET development - C#, ASP.NET MVC, Visual Studio, Entity Framework & SQL Server

  • Minimum 3 years of EDI experience, including 270/271, 276/277, 278, 837/835 transactions

  • Expertise in refactoring existing applications for performance, maintainability and scalability

  • Familiarity with healthcare industry, business process automation, model driven development, or CodeSmith a plus