Rcm pricing and payor coordinator

The RCM Pricing and Payor Coordinator is responsible for analyzing, maintaining, and optimizing Brightree RCM customer pricing structures. This role requires analytical skills, deep HME/DME billing knowledge, and the ability to interpret payor fee schedules, identify pricing discrepancies, and troubleshoot billing issues that impact reimbursements. The ideal candidate has hands-on Medicare and commercial payor experience, understands reimbursement methodologies, and can proactively identify and resolve pricing gaps that affect revenue cycle performance. This role goes beyond data entry, requiring critical thinking, problem-solving, and strong collaboration with internal teams and external customers.