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CONTRACT VARIANCE SPECIALIST

City:  Cincinnati
State:  OH
Job Requisition Number:  242461

Attention current TriHealth employees:

Please apply for this position by submitting an online internal application via SuccessFactors. Please be certain to update your SuccessFactors Employee Profile prior to applying to this position.

CONTRACT VARIANCE SPECIALIST: The major responsibility of this position will be to identify payment variances at the account level based on expected reimbursement from contracted managed care payers, governmental payers and non-contracted miscellaneous payers. Knowledge and experience with revenue cycle, including the billing, follow up and payment processes, will be critical for success in this role, as well as experience with payer contract language and various payment methodologies. Knowledge of the Patient Access and/or HIM functions would also be helpful. Critical thinking skills, as well as the ability to identify trends and/or process improvement opportunities will be expected. This position will be the contract language expert for our many payers. To perform this role, working knowledge of various billing and payers systems will be required, as well as the ability to compare, analyze and communicate trends and/or problems is essential. This is a working position, meaning accounts identified to have a contract variance will be worked until payment as expected is received.

 

MINIMUM REQUIREMENTS:

EDUCATION: Associate's Degree or Diploma Other Business, Healthcare, or other related field None None

EXPERIENCE: 3-4 years Professional Healthcare Revenue Cycle Billing and Follow Up experience Patient Access and/or HIM knowledge None Management Healthcare

SPECIALIZED KNOWLEDGE: Working knowledge of Epic Resolute, Excel, understanding of managed care contracts and payment terms.

TRIHEALTH VIDEO

Job Title:  CONTRACT VARIANCE SPECIALIST

Department Name:  TRIS NON HOSPITAL BILLING

Location:  Norwood

Hourly/Salaried:  Hourly

Employment Status: Full Time Position

Bi-Weekly Hours:80

Shift: Day Shift

Weekend Commitment:  No

Holiday Commitment:  No

On-Call Commitment:  No


Nearest Major Market: Cincinnati

Job Segment: EMR, Business Process, Healthcare, Management