Payment Variance Analyst I
Location
United States
Posted
4 days ago
Salary
$66.4K - $83.0K / year
Seniority
Mid Level
Job Description
Role Description
The position, under the supervision of the Manager of Hospital Billing, performs extensive analysis and various follow-up activities to ensure the integrity of reimbursement of medical services provided by the hospital. Responsibilities include identifying payment variances and working internally and externally to resolve such issues and recover underpayments.
Qualifications
- Associates degree and five (5) years of provider billing and revenue cycle experience OR High school diploma or equivalent and seven (7) years of provider billing and revenue cycle experience
- Basic-level Excel skills
- One (1) year of Epic experience
Requirements
- Identifies and analyzes payment variances, working closely with third party payers to resolve issues and ensure correct reimbursement.
- Recovers underpayments.
- Work with other hospital departments on issues related to payment integrity.
- Analyzes and gathers supporting documentation to process appeals to third parties, and follow up with payers accordingly.
- Performs research and analysis related to billing and reimbursement.
- Maintains current knowledge in the areas of third party billing, reimbursement schedules and methodologies, coding, payer contracts, billing and payment rules and regulations, and hospital billing compliance.
- Assists with special projects as assigned.
Skills & Abilities
- Analytical and research skills.
- Working knowledge of medical terminology and coding, including CPT, DRG, Revenue Codes, and ICD-10 codes.
- Experience working with third party payers to resolve ongoing issues.
- Basic knowledge of billing guidelines, rules, and payment policies.
- Strong verbal and written communication skills.
- Adequate time management and organizational skills.
- Experience working with computer systems and programs.
Benefits
- Comprehensive Total Rewards package that supports health, financial security, and career growth.
- Fair, competitive pay that attracts, retains, and motivates highly talented individuals.
Pay Range
$66,397.24 - $82,991.27
Job Requirements
- Associates degree and five (5) years of provider billing and revenue cycle experience OR High school diploma or equivalent and seven (7) years of provider billing and revenue cycle experience
- Basic-level Excel skills
- One (1) year of Epic experience
- Identifies and analyzes payment variances, working closely with third party payers to resolve issues and ensure correct reimbursement.
- Recovers underpayments.
- Work with other hospital departments on issues related to payment integrity.
- Analyzes and gathers supporting documentation to process appeals to third parties, and follow up with payers accordingly.
- Performs research and analysis related to billing and reimbursement.
- Maintains current knowledge in the areas of third party billing, reimbursement schedules and methodologies, coding, payer contracts, billing and payment rules and regulations, and hospital billing compliance.
- Assists with special projects as assigned.
- Skills & Abilities
- Analytical and research skills.
- Working knowledge of medical terminology and coding, including CPT, DRG, Revenue Codes, and ICD-10 codes.
- Experience working with third party payers to resolve ongoing issues.
- Basic knowledge of billing guidelines, rules, and payment policies.
- Strong verbal and written communication skills.
- Adequate time management and organizational skills.
- Experience working with computer systems and programs.
Benefits
- Comprehensive Total Rewards package that supports health, financial security, and career growth.
- Fair, competitive pay that attracts, retains, and motivates highly talented individuals.
- Pay Range
- $66,397.24 - $82,991.27
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