Contract Payment Analyst (Full Time, Days)

United States·Allentownmid

CybersecurityPayment Fraud Analyst

0 views0 saves0 applied

Apply Now

Quick Summary

Key Responsibilities

Performs in depth analysis on accounts appearing on variance report to determine cause of variance from expected payment.

Requirements Summary

Sitting for prolonged periods, up to 4 hours, with occasional twisting or turning. Repetitive motions of hands for data entry, Lifting occasionally of up to 10 lbs. Reaching,

Technical Tools

CybersecurityPayment Fraud Analyst

HOURS:

Full Time, Days, 40 hours/week

Mon-Fri

No nights, holidays, or weekends

Flexible start times from 7 AM - 8:30 AM

Home location is St. Luke's Center in Allentown PA, with the opportunity to request remote or hybrid work, after training & at the manager's discretion, for local (PA, NJ) candidates only.

This role is for hospital contract analyst. Knowledge of commercial payors is preferred,but not necessarily mandatory.

Responsibilities

~1 min read

→
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 selection issues, posting problems, over payments etc.
→
Maintains a variance tracking process that provides issues and resolutions.
→
Oversees the no payment expected report to correct errors causing claim to calculate incorrectly.
→
Ensure that all implants, carve outs are identified prior to claim submission to allow for appropriate documents and claim information to be completed to facilitate accurate and prompt claim payment.
→
Tracks claims submitted with outlier status to ensure appropriate payment received.
→
Reviews daily registration report for miscellaneous insurance plan selection to minimize incorrect calculations of reimbursement.
→
Provides month end reports to management regarding variance analysis and trending issues and actions.
→
Serves as the liaison for registration and payers with regard to communication and resolution of issues.
→
Adhere to the contract audit schedule as directed by management and provide feedback for any issues found.

Requirements

~1 min read

Sitting for prolonged periods, up to 4 hours, with occasional twisting or turning. Repetitive motions of hands for data entry, Lifting occasionally of up to 10 lbs. Reaching, bending or stooping to retrieve documents. Normal hearing and visual skills. Visual monotony from computer screen reading.

High school diploma / GED required.

Three years of experience with third party billing for a physician and/or hospital; experience in a centralized billing office preferred. Previous experience with a contract management system a preferred. Previous experience including Microsoft Suite, use of web based applications, analysis of data and presentation with spread sheet completion preferred.

Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!