Contract Payment Analyst: Variance & Reimbursement

St. Luke's University Health Network; Allentown (Lehigh County); Hybrid; USD 34,000 - 48,000; Full time

Job summary

St. Luke’s University Health Network is seeking a Contract Payment Analyst to monitor insurance payments, analyze variances and support maximum reimbursement. You will work with the business office, registration staff and payers to improve data accuracy and reduce underpayments.

The role requires attention to detail, experience with third-party billing and familiarity with contract management processes. Training provided; remote or hybrid work may be available for local candidates after training.

Qualifications

• Three years of experience with third party billing for a physician and/or hospital.
• Experience with a contract management system preferred.
• Experience including Microsoft Suite, web-based applications, data analysis and spreadsheet presentation preferred.

Responsibilities

• Performs in depth analysis on accounts appearing on variance report to determine cause of variance from expected payment.
• Resolves variances by identifying corrective actions related to under payments, late charges, payer selection issues, posting problems, over payments etc.
• Maintains a variance tracking process that provides issues and resolutions.
• Oversees the no payment expected report to correct errors causing claim to calculate incorrectly.
• Ensure that all implants, carve outs are identified prior to claim submission to allow for appropriate documents and claim information to be completed to facilitate accurate and prompt claim payment.
• Tracks claims submitted with outlier status to ensure appropriate payment received.
• Reviews daily registration report for miscellaneous insurance plan selection to minimize incorrect calculations of reimbursement.
• Provides month end reports to management regarding variance analysis and trending issues and actions.
• Serves as the liaison for registration and payers with regard to communication and resolution of issues.
• Adhere to the contract audit schedule as directed by management and provide feedback for any issues found.

Skills

Variance analysis

Third-party billing

Data analysis

Microsoft Excel

Education

High school diploma or GED

Tools

Contract management

Web-based applications

Job description

St. Luke’s University Health Network is seeking a Contract Payment Analyst to monitor insurance payments, analyze variances and support maximum reimbursement. You will work with the business office, registration staff and payers to improve data accuracy and reduce underpayments.

The role requires attention to detail, experience with third-party billing and familiarity with contract management processes. Training provided; remote or hybrid work may be available for local candidates after training.