Payment Variance Specialist - REMOTE

UMass Memorial Health • Worcester, MA

12d • $21 - $34 • Remote

About The Position

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for processing payment discrepancies (under/overpayments). Reviews, analyzes and initiates appropriate action for discrepancy resolution. Responsible for processing payment discrepancies (under/overpayments). Reviews, analyzes and initiates appropriate action for discrepancy resolution.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees