Payment Variance Specialist I

Oklahoma Heart Hospital•Oklahoma City, OK

16h

About The Position

Join Our Team at Oklahoma Heart Hospital (OHH) ONE TEAM. ALL HEART. At OHH, we believe that patient care is truly at the heart of everything we do. Our dedicated team members are involved in every step of our patients’ journeys, bringing hope, compassion, and healing to both patients and their families. Together with our physicians and caregivers, we’re shaping the future of heart care in Oklahoma by serving the state and leading the nation. Why You'll Love Working Here: Comprehensive Benefits: Medical, Dental, and Vision coverage 401(k) plan with employer match Long-term and short-term disability Employee Assistance Programs (EAP) Paid Time Off (PTO) Extended Medical Benefits (EMB) Opportunities for continuing education and professional growth Please note that benefits may vary by position, and some roles (like PRN, Flex, Float, etc.) may have exclusions. For eligible positions, benefits start on your first day! We can’t wait for you to join our heart-centered team! The OHH Payment Variance Specialist I is responsible for triaging and resolving all payment variances for hospital and professional billing. Assists with overpayments and credit balances, to include patient & insurance refunds, in accordance with department standards and policies. Identifies and corrects variances caused by posting or contract errors, conducting root cause analysis and leading efforts to fix trends at the source. Researches and pursues verified underpayments by insurance companies, drafting appeals as needed to obtain payment in full. Collaborates with domestic and global team to ensure accurate and timely resolution to all variances. Performs all work in accordance with the mission, vision and values of Oklahoma Heart Hospital. Every team member at OHH plays an integral role in our patients’ experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care. Learn more about diversity at Oklahoma Heart Hospital. As part of our team, you are empowered to work collaboratively with our physicians and other caregivers, and play an integral role in setting the standard for excellence in patient care. Every team member at OHH plays an integral role in our patients’ experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.

Requirements

High school diploma required.
One (1) year job related experience in Revenue Cycle required, with emphasis on Cash Posting, Refunds & Credit Balances, or Insurance Follow-Up/Denials.
Must be proficient on a personal computer and have experience with Microsoft Office including Excel and Word.
Must have working knowledge of various insurance reimbursement methodology and payer contracts.
Must be savvy with government payer regulations, to include Medicare credit balance reporting.

Nice To Haves

Epic experience strongly preferred.

Responsibilities

The OHH Payment Variance Specialist I is responsible for triaging and resolving all payment variances for hospital and professional billing.
Assists with overpayments and credit balances, to include patient & insurance refunds, in accordance with department standards and policies.
Identifies and corrects variances caused by posting or contract errors, conducting root cause analysis and leading efforts to fix trends at the source.
Researches and pursues verified underpayments by insurance companies, drafting appeals as needed to obtain payment in full.
Collaborates with domestic and global team to ensure accurate and timely resolution to all variances.
Performs all work in accordance with the mission, vision and values of Oklahoma Heart Hospital.