[Hiring] Contract Reimbursement Analyst @MultiCare Health System

Role Description

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.

Qualifications

• 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.
• Experience with third party payor contract language and payment methodologies.
• Epic experience preferred.

Requirements

• Discretion and good judgment in decision making.
• Extensive insurance billing knowledge.
• Strong organizational and prioritization skills.
• Persistence and critical thinking abilities.
• Service-oriented individual with strong interpersonal, customer service, and phone skills.

Benefits

• Generous PTO, Code Lavender, and Employee Assistance Programs to help you maintain balance and feel cared for in your work and life.
• Competitive tuition assistance, award-winning residencies, fellowships, and career development to invest in you.
• Comprehensive benefits package, including competitive salary, medical, dental and retirement benefits.
• Pay scale is $24.83 - $35.71 USD, influenced by factors specific to applicants.