Contract Reimbursement Analayst

MultiCare Health System; Oregon; Híbrido; USD 34.000 - 49.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical benefits

Dental benefits

Retirement benefits

Paid time off

Descripción de la vacante

MultiCare Health System is seeking a Contract Reimbursement Analyst to review patient accounts for accurate contractual reimbursement and to support the organization’s revenue cycle. The role requires strong hospital billing knowledge, at least five years of healthcare experience, and familiarity with payor contract language.

Epic experience is preferred. This on-site position offers day shifts, a 1.0 FTE schedule, and a comprehensive benefits package.

Formación

• Bachelor's degree or significant healthcare work experience.
• Minimum five years in a healthcare setting, preferably hospital billing or third-party claims processing.
• Experience with third-party payor contract language and payment methodologies; Epic experience preferred.

Responsabilidades

• Review patient accounts for accurate contractual reimbursement.
• Generate and monitor system reports to review accounts and ensure proper reimbursement.
• Maintain the Contract Management System and data integrity.
• Provide high-level summaries of underpayments for executive audiences.

Conocimientos

Healthcare billing

Data analysis

Attention to detail

Educación

Bachelor's degree or equivalent

Herramientas

Epic experience

Descripción del empleo

Join a team that shares your calling

At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home.

FTE: 1.0

Shift: Day

Schedule: Mon-Fri, 7am-4pm

Position Summary

The Contract Reimbursement Analyst is responsible for the review of individual patient accounts for accurate contractual reimbursement, including reporting and appealing improper payments. This position generates and monitors system reports to review accounts and ensure reimbursement is made according to contract. The Contract Reimbursement Analyst maintains expertise on all hospital contracts, presents any systemic payor reimbursement issues to Payor Contracting, and identifies and problem solves operational issues as they relate to the revenue cycle. This position also participates in the maintenance of the Contract Management System, ensuring the overall system functionality and data integrity. In addition, high-level summaries of the status of underpayment collections are regularly produced for an executive audience.

This is an intermediate level position requiring discretion and good judgment in decision making and representing MultiCare. Work situations are varied and require extensive insurance billing knowledge, organization, prioritization, persistence, analysis of workflow, critical thinking and a service-oriented individual with strong interpersonal, customer service, and phone skills. External contacts include insurance companies, Medicare, and Medicaid. Internal contacts include staff from Revenue Integrity, Payor Contracting, Patient Accounts, Patient Access, Care Management, and Medical Records.

Requirements

• Bachelor’s degree or a combination of education and significant relevant work experience in healthcare
• Minimum five (5) years experience in a healthcare setting, preferably with hospital billing or third party claims processing, is required
• Experience with third party payor contract language and payment methodologies required Epic experience preferred

Why MultiCare?

• Rooted in the local community
• Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years.
• Growth and education
• Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you.
• Well-being and support
• Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life.
• Living our values
• Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other.
• Belonging for all
• Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued.
• Pacific Northwest lifestyle
• Work and live where natural beauty, adventure and strong community connections are part of everyday life.

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $24.83 - $35.71 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.

Associated benefit information can be viewed here.