Payment Variance AR Specialist I

This is a fully remote position, open to applicants in United States.

📋 Description

• Collaborate closely with the Payment Variance Audit team to initiate payer disputes and track inventory until resolution.

• Recover additional reimbursements resulting from contractual payment discrepancies, inappropriate discounting, contract term enforcement, billing/charge integrity, and other revenue enhancement initiatives.

• Utilize both written and verbal communication to ensure timely follow-up on open inventory items.

• Explain the impact on reimbursement and the rationale for disputes by detailing contract terms and account specifics.

• Engage with leadership and essential stakeholders regarding the status of inventory and any identified obstacles.

• Acquire a practical understanding of relevant workflow platforms to effectively manage and resolve inventory issues.

⛳️ Requirements

• Bachelor’s degree or 1-2 years of experience in managed care reimbursement and contracts.

• Self-driven and capable of working independently as well as within a cross-functional team.

• Proficient in MS Office applications.

• Exceptional interpersonal, communication, and organizational abilities.

• Must demonstrate reliability, responsibility, goal orientation, and adaptability.

• Ability to adjust to change, embrace new ideas, undertake new responsibilities, perform under pressure, and modify plans to meet evolving needs.

• Capable of meeting deadlines while proactively seeking feedback and responding positively to constructive criticism.

• Skilled in effectively identifying and addressing root causes of complex issues, seeking input from others when necessary.

• Proficient in building strong relationships, both internally and externally, through effective professional interactions, collaboration, and established trust in executing best practice solutions.

• Familiar with ICD-9/ICD-10, CPT Coding, revenue codes, UB, and 1500 billing formats.

• Demonstrates strong leadership capabilities.

• Previous experience in the account/dispute resolution process, ideally within the healthcare sector.

• Experience with nThrive Contract Management and/or Collections Management, Epic, Meditech, Cerner, Invision, Paragon, Soarian, STAR, NextGen, and AllScripts.

• Experience working with or for a hospital or hospital system across various business functions and/or organizational entities.

🏝️ Benefits

• Comprehensive health insurance coverage.

• Competitive salary and performance-based bonuses.

• Opportunities for professional development and career advancement.

• Flexible work schedules and remote working options.

• Generous paid time off and holiday policies.