Truman Medical Center

Healthcare

PaymentVarianceAnalyst

$63–88k ~AI est. Kansas City, Missouri, United States FULL TIME
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid+ candidates.

The Brief

“Payment Variance Analyst at Truman Medical Center. Skills: Payment variance reconciliation, Managed care, Government payer programs. Evaluate contract language. Understand reimbursement methodologies”

Industry & Context.

Healthcare
Problems you'll solve

Problem solving; Critical thinking

What They're Looking For.

Must Have

Bachelor's degree or equivalent, 2 years managed care experience, 2 years government payer experience, 2 years variance reconciliation experience, Experience with 837i, Experience with HIPAA transaction sets, Experience with ICD/CPT/HCPC coding, Experience with revenue codes, Experience with ICD10, Knowledge of medical terminology, Critical thinking skills, Problem solving skills, Proficient in Microsoft Office, Expert spreadsheet analysis skills, Graphic presentation skills, Attention to detail, Excellent communication skills, Excellent customer service skills

Nice to Have

Health care experience in hospital

What You'll Do.

Evaluate contract language

Understand reimbursement methodologies

Evaluate payer performance

Investigate payer performance

Facilitate payer resolution

Communicate contract issues

Communicate contract interpretation

Communicate contract modifications

Review payer underpayments

Analyze payer underpayments

Appeal payer underpayments

Review contract variance recoveries

Analyze contract variance recoveries

Conduct follow up activity

Provide customer service resolution

Identify contract problems

Communicate contract problems

Provide organization details

Communicate information to peers

Communicate information to management

Ensure quality in operations

Ensure efficiency in operations

Meet quality measures

How You'll Work.

Team & Collaboration

Communicate to internal parties; Communicate to external parties; Follow up with Managed Care

Communication Scope

Oral communication; Written communication; Telephone communication

Full Job Description

**If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site.** **** **Please log into[ myWORKDAY](http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Payment Variance Analyst 101 Truman Medical Center # **Job Location** Truman Support Center Kansas City, Missouri # **Department** Patient Accounts # **Position Type** Full time # **Work Schedule** 7:30AM - 4:00PM # **Hours Per Week** 40 # **Job Description** The Analyst will evaluate and understand contract language as it relates to reimbursement methodologies including those involving, but not limited to, Per Diems, DRG’s, Fee Schedules and Percent of Charge Mechanisms. Evaluates payer performance through analysis, investigation and facilitation of resolution. Communicates contract issues, interpretation and modifications to internal/external parties, as appropriate. Duties include reviewing, analyzing and appealing payer underpayments, payer contract variance recoveries and conducting follow up activity with Managed Care team for rate sheet modifications. The Analyst will provide customer service/provider service resolution by identifying and communicating problems with key contracts. Has extensive knowledge in Medicare, Medicaid, and third party payment programs. Thorough understanding of payer contract terminology. This position is considered a subject matter expert and uses level of proficiency and knowledge to ensure quality and efficiencies in operational processes. Meets quality measures set forth by regulatory compliance standards, organization, and department. Displays high customer service standards. Serves as a key point person for providing organization details for underpayment and denials. Has a strong ability to communicate information to peers, and management. _Minimum Requirements_ * Bachelor’s degree or equivalent obtained through a combination of education and experience * Mini

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