Payment Variance Analyst
3 weeks ago
University Health is seeking a skilled Payment Variance Analyst to join our team. As a Payment Variance Analyst, you will play a critical role in evaluating and understanding contract language as it relates to reimbursement methodologies.
Key Responsibilities:- Evaluate and understand contract language as it relates to reimbursement methodologies
- Evaluate payer performance through analysis, investigation, and facilitation of resolution
- Communicate contract issues, interpretation, and modifications to internal/external parties
- Review, analyze, and appeal payer underpayments and payer contract variance recoveries
- Conduct follow-up activity with Managed Care team for rate sheet modifications
- Bachelor's degree or equivalent
- Minimum of two years' experience in managed care or government payer payment variance reconciliation
- Experience with 837i and HIPAA transaction sets such as ICD/CPT/HCPC coding, revenue codes, ICD10, and knowledge of medical terminology
- Critical thinking and problem-solving skills
- Proficient in use of Microsoft Office products
- Expert level in use of spreadsheets for analysis purposes
- Graphic presentation skills
- Ability to demonstrate attention to detail
- Excellent communication skills, oral, written, and by use of telephone
- Excellent customer service skills
- Healthcare experience in a hospital setting
University Health is an equal opportunity employer and welcomes applications from diverse candidates. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
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Payment Variance Analyst
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