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CONTRACT VARIANCE SPECIALIST

City:  Norwood
State:  OH
Job Requisition Number:  200299

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

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.


Nearest Major Market: Cincinnati

Job Segment: EMR, Business Process, Healthcare, Management