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Contract Variance Specialist (Payers Relations) - Cincinnati, OH

City:  Norwood
State:  OH
Job Requisition Number:  230067

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.

 

We're growing and we'd love for you to grow with us!  TriHealth is looking to hire a Contract Variance Specialist to join our award-winning team!

 

The Contract Variance Specialist is responsible to identify payment variances at the account level based on expected reimbursement from contracted managed care payers, governmental payers and non-contracted miscellaneous payers.

 

Some of the primary responsbilities for this role are:

  • 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.
  • 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.
  • Identified accounts that have a contract variance and worked until expected payment is received.

 

Minimum Requirements:

  • Education

               - Associate's Degree or Diploma in Business, Healthcare, or other related field.  Bachelor's degree in Health Administration preferred.

  • Experience

              - 3-4 years Professional Healthcare Revenue Cycle Billing and follow up, patient access, and/or HIM knowledge.  Some management healthcare experience ideal.

  • Specialized Knowledge

              - Working knowledge of Epic Resolute, Excel, understanding of managed care contracts and payment terms.

              - Broader Epic knowledge and revenue cycle experience outside of billing / follow up, managed care experience, Excel (Pivot Table) expertise is desired.

              - Ability to work independently and in a team environment

  • Work Environment

              - Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment.

              - Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports.

              - Requires lifting papers or boxes up to 25 pounds occasionally.

              - Work is performed in an office environment.

              - Remain positive, professional, determined, calm and focused when faced with challenging situations

 

You can also expect a Total Rewards package that includes but not limited to:

  • First class Medical, Dental and Vision insurance (Prescription drug coverage)
  • 401K
  • Disability 
  • Tuition Reimbursement Program
  • Healthy Living Program:  Earn Discounts on Medical Plan Expenses
  • Fitness Centers
  • Vendor Discounts

 

If you’re interested in learning more about this amazing opportunity, Apply today!  

 

Job Keywords:

Account Representative, Accounts Receivable Specialist (AR Specialist), Collection Agent, Collection Specialist, Collector, Credit Clerk, Debt Collector, Patient Access Specialist, Patient Account Representative, Telephone Collector,Account Clerk, Accounting Assistant, Accounting Associate, Accounting Clerk, Accounting Specialist, Accounting Technician, Accounts Payable Clerk, Accounts Payable Specialist, Accounts Payables Clerk, Accounts Receivable Clerk

 

 

TRIHEALTH VIDEO

 

Job Title:  Contract Variance Specialist (Payers Relations) - Cincinnati, OH

Department Name:  TRIS PATIENT ACCOUNTING

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: Medical, EMR, Business Process, Healthcare, Management