Remote

Contract Reimbursement Analyst

MultiCare Health System
paid time off
United States
Jan 03, 2025
You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve. FTE: 1.0, Shift: Day, Schedule: Monday - Friday, Hourly, 40 hours a week Position Summary 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. Requirements 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, is required Experience with third party payor contract language and payment methodologies required Epic experience preferred Our Values As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration and Kindness. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other. Why MultiCare? Belonging: We work to create a true sense of belonging for all our employees Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve Market leadership: Washington state's largest community-based, locally governed health system Employee-centric: Named Forbes "America's Best Employers by State" for several years running Technology: "Most Wired" health care system 15 years in a row Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $24.33 - $35.01 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant's years of experience align. Associated benefit information can be viewed here.