Payment Variance AR Specialist I

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).
​​Role and Responsibilities​
This position works closely with the Payment Variance Audit team to initiate payer disputes and follow inventorythrough to resolution. The Payment Variance AR Specialist works to recover additional reimbursement due to
issues such as: contractual payment discrepancy, inappropriate discounting, contract term enforcement,billing/charge integrity, and other revenue improvement initiatives identified.
Use both written and verbal communication to maintain timely follow-up on open inventory

Effectively communicate reimbursement impact and reason for dispute by knowledgeably speaking about contract terms and account details

Proactively initiate an open line of communication with leadership and key stakeholders on status of inventory and any roadblocks identified

Gain working knowledge of all relevant workflow platforms used to effectively manage and resolve inventory

​​Qualifications and Education Requirements​
Undergraduate Degree or 1-2 years of experience working with managed care reimbursement and contracts

Self-motivated and able to work both autonomously and as part of a cross functional team

Proficiency with MS Office

Excellent interpersonal, communication and organizational skills

Must be reliable, responsible, goal oriented, and flexible

Adapts to change, is open to new ideas, takes on new responsibilities, handles pressure, adjusts plans to meet changing needs

Meets assigned deadlines and proactively solicits feedback, acting on constructive criticism

Ability to effectively identify and address root causes for complex issues, seeking input from others where appropriate

Ability to build strong relationships, both internally and externally, through effective professional interactions, collaboration, and established trust in ability to execute best practice solutions

​​Preferred Skills​

Familiar with ICD-9/ICD-10, CPT Coding, revenue codes, UB and 1500 billing formats

Strong leadership skills

Prior experience in account/dispute resolution process, preferably in healthcare

Experience with nThrive Contract Management and/or Collections Management, Epic, Meditech, Cerner, Invision, Paragon, Soarian, STAR, NextGen, AllScripts

Experience working with or for a hospital/hospital system across a range of diverse business functions and/or organizational entities

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.
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Originally posted on Himalayas