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Contract Variance Specialist (Patient Accounting) - Norwood, Ohio

City:  Norwood
State:  OH
Job Requisition Number:  264239

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.

 

TriHealth is actively recruiting for a Contract Variance Specialist for our Patient Accounting team in Norwood, Ohio.

 

In this role, you are responsible for identifying payment variances at the account level based on expected reimbursement from contracted managed care payers, governmental payers, and non-contracted miscellaneous payers. 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.

 

Specific knowledge and experience:

  • Knowledge and experience with revenue cycle, including the billing, follow up and payment processes
  • Experience with payer contract language and various payment methodologies
  • Knowledge of the Patient Access and/or Health Information Management (HIM) functions
  • Critical thinking skills, as well as the ability to identify trends and/or process improvement opportunities

 

To be qualified for this position, you must meet these minimum requirements:

  • EDUCATION:
    • Associate's Degree or Diploma Other Business, Healthcare, or other related field
  • EXPERIENCE:
    • 3-4 years of experience in Healthcare Revenue Cycle
    • Billing and Follow Up experience
    • Patient Access and/or Health Information Management (HIM) knowledge
  • SPECIALIZED KNOWLEDGE:
    • Working knowledge of Epic Resolute, Excel, and other Revenue Cycle specific applications
    • Understanding of managed care contracts and payment terms

 

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Job Title:  Contract Variance Specialist (Patient Accounting) - Norwood, Ohio

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

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