Payment Variance RC

| Atlanta, GA
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Overview

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Responsibilities

The Contract Variance Analyst researches closed-balance accounts for over/under amounts due from/to payors per established contracts. The Specialist ensures payments are made properly and in full per contractual agreements identifying and reporting payor trends thru established guidelines. This position also coordinates; transfers and communication of accounts with insurance balances to the appropriate outside agency, per department guidelines.
Qualifications

Required Minimum Education
  • High School Diploma or equivalent
Required Minimum Experience
  • Two years hospital collection experience
Required Minimum Skills
  • Demonstrate proficiency in reading UB04
  • Demonstrate knowledge and proficiency of claims resolution
  • Demonstrate ability to access Major payer(s) specific provider websites for claim corrections
  • Demonstrate proficiency in locating and interpreting contract verbiage for timely claims resolution
  • Demonstrate proficiency in contract management and expected reimbursement technology
  • Demonstrate knowledge of billing rules
  • Two years' experience with a Hospital Information System or PC-based applications
  • Ability to perform mathematical calculations
  • Excellent communication skills when dealing with patients, families, public, and co-workers
  • Basic knowledge of medical terminology
  • Detail-oriented, good organizational skills, and ability to be self-directed
  • Ability to learn quickly and meet continuous timelines
  • Strong time management skills, managing multiple priorities and workload in a high-stress atmosphere
  • Demonstrated flexibility to perform other tasks as needed in an active work environment
  • High-level problem solving, analytical, and investigational skills
  • Excellent internal/external customer service skills
  • Excellent communication skills to include oral and written comprehension and expression
  • Ability and willingness to exhibit behaviors consistent with principles of excellent service
  • Ability to demonstrate and maintain competency as required for job title and area(s) of assignment
More Information on Wellstar Health System
Wellstar Health System operates in the Healthtech industry. The company is located in Marietta, GA. Wellstar Health System was founded in 1997. It has 25000 total employees. It offers perks and benefits such as Flexible Spending Account (FSA), Disability Insurance, Dental Benefits, Vision Benefits, Health Insurance Benefits and Life Insurance. To see all 56 open jobs at Wellstar Health System, click here.
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