Payment Variance Analyst I

Role Overview

• 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.

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

Benefits

• Comprehensive Total Rewards package that supports your health, financial security, and career growth