The government authority in Washington, DC seeks a partner to provide comprehensive services including health plan contract compliance, zero balance reviews, underpayment recovery, denials management, and credit balance resolution. The primary goal is to optimize reimbursement, ensure adherence to contract terms, and offer exceptional value through quality service delivery. A particular focus is placed on strengthening rural health systems through collaborative efforts.

Responsibilities include analyzing payments against contracted reimbursement terms, identifying systemic payer payment issues while considering contract language, and conducting underpayment identification and recovery. The provider will perform retrospective analysis of paid accounts with zero balances to capture missed revenue opportunities, as well as identify and resolve credit balances. Additional services encompass payer performance benchmarking and analytics to facilitate ongoing optimization of the organization's revenue cycle.