Overview
This role involves processing payment discrepancies, including underpayments and overpayments, within a healthcare setting. The position requires reviewing, analyzing, and initiating appropriate actions to resolve payment variances.
Responsibilities
- Prioritize standards and guidelines to perform payment variance follow-up using an assigned work queue.
- Analyze and research overpayments and underpayments with payers to determine and execute the best resolution approach.
- Validate payment discrepancies using hospital billing revenue cycle management system calculations.
- Identify and isolate payment variance trends and discrepancies, escalating issues as appropriate.
- Correspond with third-party payers, hospital departments, and patients to obtain information required for payment variance resolution.
- Clearly document all actions taken during the resolution process.
- Apply reimbursement concepts while researching and triaging payment variances.
Requirements
- High school diploma.
- Two or more years of experience in healthcare billing functions.
- Knowledge and experience with healthcare revenue cycle systems and billing tools.
- Proven track record of successful performance and goal achievement.
- Ability to perform assigned tasks efficiently and in a timely manner.
- Ability to work collaboratively and effectively with others.
- Exceptional communication and interpersonal skills.
- Strong analytical skills.
Compensation & Schedule
- Hiring range: $20.94 - $33.59 per hour, with final offer based on experience, skills, qualifications, and internal equity considerations.
- Non-exempt position.
- Full-time, 40 hours per week.
- Monday through Friday, Day Shift (8 hours).
- Union: SHARE (State Healthcare and Research Employees).
- This position may have a signing bonus; eligibility will be confirmed during the interview process.
Location
Equal Opportunity
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. The employer encourages applications from individuals with diverse experiences, perspectives, and backgrounds.
If assistance is needed due to disability or incompatible assistive technology, accommodations will be made upon request.