Contract Payment Analyst (Full Time, Days)

Allentown, PA - 1110 American Parkway

Full time

R145635

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

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.

The Contract Payment Analyst is responsible for monitoring the accuracy of insurance payments via the variance report and resolving issues. Oversees the implant and outlier process to ensure maximum reimbursement. Serves as a liaison to our business office and registration staff as well as the payers to improve data accuracy and decrease variances with payments. The Contract Analyst is also responsible for the audit of managed care contract terms and changes within the Contract Management system. Audit results are tracked and maintained per the contract audit schedule. Identifies trends and issues related to underpayments to management for resolution.

JOB DUTIES AND 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 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.

PHYSICAL AND SENSORY REQUIREMENTS:

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.

EDUCATION:

High school diploma / GED required.

TRAINING AND EXPERIENCE:

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!!

St. Luke's University Health Network is an Equal Opportunity Employer. (http://www.slhn.org/EOE)

Founded in 1872, St. Luke’s University Health Network (http://www.slhn.org/) (SLUHN) is a fully integrated, regional, non-profit network of more than 23,000 employees providing services at 16 campuses and 350+ outpatient sites. With annual net revenue in excess of $4 billion, the Network’s service area includes 11 counties in two states: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. St. Luke’s hospitals operate the largest network of trauma centers in Pennsylvania, with the Bethlehem Campus being home to St. Luke’s Children’s Hospital. SLUHN is the only Lehigh Valley-based health care system to earn Medicare’s five-star ratings (the highest) for quality, efficiency and patient satisfaction. It is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World’s Best Hospital. The Network’s flagship University Hospital has earned the 100 Top Major Teaching Hospital designation from Premier 13 times total and eleven years in a row, including in 2023 when it was identified as THE #4 TEACHING HOSPITAL IN THE COUNTRY. In 2021, St. Luke’s was identified as one of the 15 Top Health Systems nationally.

St. Luke’s is the ONLY health care institution in the Lehigh Valley to be named a Top Workplace regionally repeating the exclusive honor for the third year in a row. Also, for the third straight year, St. Luke’s has been a Top Workplaces in the Philadelphia Region by the Philadelphia Inquirer, ranking 9th in the large employer category for 2025 and the only health care system in PA to receive this award. In 2025, St. Luke’s was recognized as a national Top Workplaces by USA Today, three years in a row, including the 3rd best health care system in the nation in 2023 and 2024. Lastly, in 2025, St. Luke’s was named a Top Workplace in New Jersey for the third year in a row.

Learn More Here. (http://www.slhn.org/About)