Payment Compliance and Contract Management Analyst - REMOTE

Job description

Benefits: - Comprehensive Health Coverage – Medical, dental, and vision plans to keep you and your family healthy. - Future Security: 401(k) with matching - Student Loan Support – Up to $10,000 repayment assistance, because we invest in your future. - Educational Tuition Assistance - Competitive Pay & Full Benefits – A salary and package designed to reward your expertise and dedication. Job Summary: The Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing reimbursement by identifying variances between posted and expected revenue for managed care, government contracts, and other payers. This role includes analyzing contract compliance, identifying revenue opportunities, and communicating discrepancies to relevant departments. The PCCM Analyst collaborates with financial and clinical teams to improve revenue cycle processes and optimize payer relationships. Essential Functions: - Analyzes contract reimbursement, identifying variances, trends in underpayments/overpayments, denials, and revenue leakage to support maximization of reimbursement. - Manages underpayment appeals and account follow-up, working collaboratively with payers and internal teams to...