Contract & Reimbursement Analyst - AR & Payer Contracts

Care New England; Warwick (RI); On-site; USD 65,000 - 90,000; Full time

Job summary

Care New England Health System seeks a Contract Management Analyst in Rhode Island to review variances, analyze payments from third party payers, and determine corrective actions. The role acts as a billing liaison with patients, providers, and insurers to ensure appropriate reimbursement on claims.

The position emphasizes documentation, accurate account history updates, and timely response to inquiries. A strong background in healthcare billing and contracts supports success in this role.

Qualifications

• Minimum 3–5 years of experience in a healthcare or business environment.
• Excellent communication and organizational skills.
• Knowledge of third party payers and collection policies.
• Strong analytical, oral and written communication abilities.

Responsibilities

• Review variances and follow up on remaining balance due; establish follow up protocol.
• Process overpayment recovery to recoup refunds from third party payers.
• Document and analyze accounts receivable using information systems.
• Initiate corrected claims to resolve under- or overpaid accounts.
• Provide supporting documentation to appeal variances timely.
• Initiate adjustment requests to rectify false variances in the system.
• Identify root causes by payer, facility coding, or system setup and inform supervisor.

Skills

Communication

Organizational skills

Analytical skills

Attention to detail

Oral communication

Written communication

Education

High school diploma

Associate degree

Tools

MS Word

MS Excel

Database applications

Job description

Care New England Health System seeks a Contract Management Analyst in Rhode Island to review variances, analyze payments from third party payers, and determine corrective actions. The role acts as a billing liaison with patients, providers, and insurers to ensure appropriate reimbursement on claims.

The position emphasizes documentation, accurate account history updates, and timely response to inquiries. A strong background in healthcare billing and contracts supports success in this role.