Payer Contract Analyst: Reimbursement & Data Insights

Altru Health System; Grand Forks (ND); On-site; USD 60,715 - 91,083; Full time

Job summary

Altru Health System is hiring a Payer Contract Analyst to develop and optimize reporting for contract performance and reimbursement trends. You will work with the Finance team to create data collection tools, analyze financial impact, and monitor payer contracts and guidelines across commercial payers.

The role requires at least 1 year of related experience, an associates degree in business or related field (bachelors preferred), and proficient English communication.

Qualifications

• Associates degree in Business or related field is required.
• Bachelor's degree in Business is preferred.
• Minimum of 1 year related experience.
• English proficiency in reading, writing, and speaking.

Responsibilities

• Assists with preparation of reports and report analysis for reimbursement and utilization issues.
• Monitors changes to payer contracts and payer guidelines to educate staff prior to changes.
• Analyzes payer reimbursement calculations and charges to validate payments from government and commercial payers.
• Develops and maintains knowledge on risk scoring, episodes of care, bundled payments and related reimbursement trends.
• Summarizes data and findings for internal/external audiences with graphical data, reports, or statistical analysis.
• Keeps up to date with third party and government payer rules, regulations and payment policies.
• Assists with Medicare cost report preparation and knowledge.
• Performs internal audits to ensure billing compliance and optimal reimbursement.
• Other duties as assigned.

Education

Associates - Business OR Associates - Related Field

Bachelors - Business

Job description

Altru Health System is hiring a Payer Contract Analyst to develop and optimize reporting for contract performance and reimbursement trends. You will work with the Finance team to create data collection tools, analyze financial impact, and monitor payer contracts and guidelines across commercial payers.

The role requires at least 1 year of related experience, an associates degree in business or related field (bachelors preferred), and proficient English communication.