Payment Variance Specialist - REMOTE

UMass Memorial Health•Worcester, MA

3d•$21 - $34•Remote

About The Position

This position is responsible for processing payment discrepancies, including underpayments and overpayments. The specialist will review, analyze, and initiate appropriate actions for discrepancy resolution. At UMass Memorial Health, everyone is considered a caregiver, playing an important role in the relentless pursuit of healing for patients, the community, and each other. The health system is comprised of over 20,000 employees working together.

Requirements

High School diploma
Two or more years of experience in health care billing functions.
Knowledge and experience with health care revenue cycle systems and billing tools.
Proven track record of successful performance and goal achievement.
Ability to perform assigned tasks efficiently and in timely manner.
Ability to work collaboratively and effectively with people.
Exceptional communication and interpersonal skills.
Strong analytical skills.

Responsibilities

Prioritizes standards and guidelines to perform payment variance follow up utilizing assigned work queue.
Analyzes and researches overpayments and underpayments with payers.
Determines and executes the best approach for resolution.
Validates payment discrepancies using Hospital Billing Revenue Cycle management system calculations.
Identifies and isolates payment variance trends and discrepancies, escalates as appropriate.
Corresponds with third party payers, hospital departments, and patients to obtain information required for payment variance resolution.
Clearly documents all actions taken during the resolution process.
Applies reimbursement concepts while researching and triaging payment variance.