Epic Contracts & Reimbursement Analyst

Highmark Health; Honolulu (HI); On-site; USD 47,000 - 75,000; Full time

Job summary

Allegheny Health Network is seeking a finance/contracting professional to build and maintain hospital, professional, and ASC contracts in Epic. You will identify underpaid accounts and clearly articulate the source of the processing error to the payor.

You will support senior analysts, manage underpayment AR for assigned payors, and collaborate with Revenue Cycle and Finance on contract building and analysis requests.

Qualifications

• Associate's degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field
• Experience in finance, contracting, or data analysis
• Microsoft Office (Excel, PowerPoint, etc.)
• Ability to analyze and interpret various types of data including financial results, operational metrics, clinical outcomes, and other key datasets
• Ability to work with large quantities of detailed data and illuminate the higher-level strategic insights that can impact business operations and performance
• Ability to juggle multiple projects at once and manage time effectively, in order to meet established deadlines
• Strong oral and written communication skills
• Ability to independently make progress on key projects with support from supervisor or peer analysts
• Bachelor's degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field
• Epic Expected Reimbursement Contracts Certification
• Experience with hospital, physician, and ASC contracts
• Experience in healthcare
• R, Python, or other statistical/programming tools
• Knowledge of healthcare industry, particularly as it relates to hospitals or other providers reimbursement methodologies
• Clinical background or general understanding of hospital/physician practice operations

Responsibilities

• Provides support to senior analysts in building hospital, professional, and ASC contracts in Epic. (40%)
• Manages underpayment AR for assigned payors including successfully recovering on underpaid accounts. (25%)
• Collaborates with Revenue Cycle and Finance Teams on contract building and analysis requests. (25%)
• Provides assistance in performing analyses to support reimbursement impact analysis. (10%)
• Perform other duties as assigned or required.

Skills

Finance/contracting experience

Data analysis

Communication

Time management

Independent progress with supervision

Education

Associate's degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field

Tools

Excel

PowerPoint

Job description

Allegheny Health Network is seeking a finance/contracting professional to build and maintain hospital, professional, and ASC contracts in Epic. You will identify underpaid accounts and clearly articulate the source of the processing error to the payor.

You will support senior analysts, manage underpayment AR for assigned payors, and collaborate with Revenue Cycle and Finance on contract building and analysis requests.