What are the responsibilities and job description for the PAYMENT VARIANCE SPEC position at UMass Memorial Health?
Responsible for processing payment discrepancies (under/overpayments). Reviews, analyzes and initiates appropriate action for discrepancy resolution.
Major 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.
Position Qualifications:
License/Certification/Education:
Required:
- High School diploma
Experience/Skills:
Required:
- 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.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
