Remote-Eligible Contract Payment Analyst (Healthcare)

RiseMe; Allentown (Lehigh County); Hybrid; USD 60,000 - 75,000; Full time

Job summary

St. Luke's University Health Network in Allentown, PA seeks a Contract Payment Analyst to monitor insurance payments, resolve variances, and audit contract terms.

The role supports data accuracy and maximum reimbursement within the contract management framework, interacting with registration staff, payers, and the business office. Role requires 3 years of third-party billing experience, familiarity with contract management systems, and proficiency with Microsoft Office.

Qualifications

• Three years of experience with third party billing for a physician and/or hospital.
• Experience with contract management system preferred.
• Proficiency in Microsoft Suite and data presentation.

Responsibilities

• Performs in depth analysis on accounts appearing on variance report to determine cause of variance from expected payment.
• Resolves variances by identifying corrective actions related to under payments, late charges, payer issues, posting problems, over payments.
• Maintains a variance tracking process with issues and resolutions.
• Oversees the no payment expected report to correct errors causing claim calculations.
• Ensures implants and carve outs are identified prior to submission for accurate and prompt payment.
• Tracks claims with outlier status to ensure appropriate payment.
• Reviews daily registration report for plan selection to minimize incorrect reimbursement.
• Provides month end variance analysis reports to management.
• Serves as liaison for registration and payers to resolve issues.
• Adhere to the contract audit schedule and provide feedback on issues.

Skills

Billing data analysis

Variance analysis

Communication with payers

Education

High school diploma / GED

Tools

Microsoft Office

Job description

St. Luke's University Health Network in Allentown, PA seeks a Contract Payment Analyst to monitor insurance payments, resolve variances, and audit contract terms.

The role supports data accuracy and maximum reimbursement within the contract management framework, interacting with registration staff, payers, and the business office. Role requires 3 years of third-party billing experience, familiarity with contract management systems, and proficiency with Microsoft Office.