Payment Variance Auditor I

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $43.9k - $50k / year

⏰ Full Time

🟢 Junior

🔎 Auditor

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Savista

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1994

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Savista is a full-service revenue cycle management provider with over 30 years of experience in the healthcare industry. They support healthcare organizations in improving financial outcomes by offering services such as AR management, denial management, clinical documentation integrity, eligibility & enrollment, and HIM outsourcing. Savista works as an extension of healthcare teams to optimize processes and increase efficiency to ensure compliance and drive patient-centered service quality. The company has garnered recognition and industry accolades for its effective and quality solutions.

📋 Description

• Review high-volume reports and historical payment information to determine reimbursement accuracy. • Review hospital managed care contracts for correct application of rates, provisions, and terms. • Identify potential underpayment trends by comparing contracts with actual reimbursement information using contract management technology. • Apply analytical techniques to remove inaccurate information and false-positive returns. • Investigate third-party payor policies and contracts against published payor guidelines. • Interface with Contract Specialist team to refine contract models when discrepancies are identified. • Verify patient benefits and eligibility to screen out denials, plan type, and demographic information that may affect underpayment trends. • Report underpayments and trends to management and the audit team for pursuit and collection. • Update reasons for pursuit and pursued amounts as needed. • Meet individual and team goals for volume and value of underpayments identified. • Support Savista’s Compliance Program by adhering to applicable policies and procedures, completing required training, reporting concerns, and handling patient information in a HIPAA-compliant manner.

🎯 Requirements

• High school diploma or GED. • 1-2 years of experience working with managed care reimbursement and contracts. • Familiar with ICD-9 and ICD-10, CPT Coding, revenue codes, UB and 1500 billing formats. • Self-motivated and independent. • Strong analytical acumen. • Proficiency with MS Office. • Strong leadership skills. • Excellent oral and written communication skills. • Compliance with HIPAA, FDCPA, FCRA, and other applicable laws. • Demonstrable awareness of confidentiality obligations.