Payment Variance Specialist I

Oklahoma Heart Hospital • Oklahoma City, OK

2d

About The Position

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.

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.
• Proficient on a personal computer.
• Experience with Microsoft Office including Excel and Word.
• Working knowledge of various insurance reimbursement methodology and payer contracts.
• Savvy with government payer regulations, to include Medicare credit balance reporting.

Nice To Haves

• Epic experience strongly preferred.

Responsibilities

• Triage and resolve all payment variances for hospital and professional billing.
• Assist with overpayments and credit balances, including patient & insurance refunds, in accordance with department standards and policies.
• Identify and correct variances caused by posting or contract errors.
• Conduct root cause analysis and lead efforts to fix trends at the source.
• Research and pursue verified underpayments by insurance companies, drafting appeals as needed to obtain payment in full.
• Collaborate with domestic and global team to ensure accurate and timely resolution to all variances.
• Perform all work in accordance with the mission, vision and values of Oklahoma Heart Hospital.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED