Truman Medical Center
Healthcare
PaymentVarianceAnalyst
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Payment Variance Analyst at Truman Medical Center. Skills: Payment variance reconciliation, Managed care, Government payer programs. Evaluate contract language. Understand reimbursement methodologies”
Industry & Context.
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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