What are the responsibilities and job description for the Senior Contract Variance Specialist - Patient Accounting - Full Time Exempt - Days - 8hr position at Emanate Health?
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Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals.
On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country.
Job Summary
Sr. Contract Variance Specialist identifies payment variances at the account level based on expected reimbursement from contracted managed care payers, governmental payers and non-contracted miscellaneous payers. This position will be the contract language expert for our many payers.
Job Requirements
Minimum Education Requirement :
High School diploma or equivalent required.
Minimum Experience Requirement :
Minimum 7-10 years’ experience in Commercial insurance collections, including submitting and following up on claims and appeals. Detailed knowledge of Managed Care reimbursement methodologies. Experience in Hospital/Facility billing. Knowledge and experience with revenue cycle, including the billing, follow up and payment processes. Experience with payer contract language and various payment methodologies. Critical thinking skills and able to identify trends and/or process improvement opportunities will be expected. Knowledge of various billing and payers systems and able to compare, analyze and communicate trends and/or problems. Ability to adapt to learning a wide range of systems and regulations. Proficiency with MS Office. Excellent customer service and communication skills.
Minimum License Requirement :
None.
Delivering world-class health care one patient at a time.
Pay Range:
$33.00 - $48.87Salary : $33 - $49