Contract Reimbursement Analayst

MultiCare Health System; Tacoma (WA); On-site; USD 34,000 - 49,000; Full time

Benefits offered by this job

Competitive salary

PTO

Employee Assistance Program

Tuition assistance

Job summary

MultiCare Health System is seeking a Contract Reimbursement Analyst to review patient accounts for accurate contractual reimbursement and to quantify and report on reimbursement status. The role requires deep knowledge of hospital billing, payor contracts, and data integrity within the Contract Management System.

The analyst communicates findings to executive leadership and collaborates with Revenue Integrity, Payor Contracting, Patient Accounts, and related teams to resolve underpayments and

Qualifications

• Bachelor’s degree or 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

Responsibilities

• Review individual patient accounts for accurate contractual reimbursement and generate system reports.
• Monitor and ensure reimbursement is made according to contract and present issues to Payor Contracting.
• Maintain the Contract Management System and ensure data integrity.
• Provide high-level summaries of underpayment collections for executive audiences.
• Collaborate with Revenue Integrity, Patient Accounts and other departments to resolve issues.

Skills

Healthcare Billing

Reimbursement Analysis

Contract Terms

Education

Bachelor's degree

Tools

Epic

Job description

Join a team that shares your callingAt 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

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.