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Insurance Underpayments Analyst

Wellington Regional Medical Center

Variance Analyst - East

The Atlantic Region CBO is seeking a dynamic and talented Variance Analyst - East. The primary responsibility of the Variance Analyst is the resolution of over and underpayment discrepancies on paid accounts. Assists in review of the PRM and assures properly maintained. Actively participates in contract review. Completes other tasks and assignments in a timely manner. Key responsibilities include:

  • Respond to manager's requests in a timely manner.
  • Able to recognize any variances regarding payments from all third party carriers.
  • Advises manager on any discrepancies to ensure that corrections, if applicable are made to each plan.
  • Corrects all log errors as they occur in a timely and satisfactory manner.
  • Documents all actions in note screen of Patient Accounting system.
  • Has a good understanding of all insurance regulations and requirements for accurate maintenance of the cost payer logs.
  • Posts allowed adjustments as needed to assigned accounts.
  • Directs any problems with accounts or where additional intervention is needed to management for resolution.
  • Contact third party payers when changes occur in the reimbursement amount to determine of corrections need to be made in the discount.
  • Other duties as assigned

Benefit Highlights:

  • Challenging and rewarding work environment
  • Competitive compensation & generous paid time off
  • Excellent medical, dental, vision and prescription drug plans
  • 401(K) with company match and discounted stock plan
  • SoFi student loan refinancing program
  • Career development opportunities within UHS and its 300+ subsidiaries!

More information is available on our Benefits Guest Website: benefits.uhsguest.com

Contact Information: Kim LaFontaine HR Generalist View email address on click.appcast.io

Qualifications:

  • Proactive, assertive articulates knowledge and understanding of payer claims processing philosophies.
  • Understands complex managed care agreements.
  • The ability to communicate clearly and concisely both verbally and writing.
  • Customer focused, providing service consistently exceeding expectations to both internal and external customers.
  • Proficiency in Microsoft Office applications and others as required.
  • Ability to prioritize needs and to manage resources.
  • High school diploma or equivalent and 1-3 years contract analysis experience preferred.

EEO Statement: All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

Vacancy posted 3 days ago
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