Payment Variance AR Specialist I at Savista

About this role

Here at Savista , we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). ​​Role and ​ This position works closely with the Payment Variance Audit team to initiate payer disputes and follow to resolution. The Payment Variance AR Specialist works to recover additional reimbursement due to issues such as: contractual payment discrepancy, inappropriate discounting, contract term enforcement,billing/charge integrity, and other revenue improvement initiatives identified. Use both written and verbal communication to maintain timely follow-up on open inventory Effectively communicate reimbursement impact and reason for dispute by knowledgeably speaking about contract terms and account details Proactively initiate an open line of communication with leadership and key stakeholders on status of inventory and any roadblocks identified Gain working knowledge of all relevant workflow platforms used to effectively manage and resolve inventory ​​Qualifications and Education Requirements​ Undergraduate Degree or 1-2 years of experience working with managed care reimbursement and contracts Self-motivated and able to work both autonomously and as part of a cross functional team Proficiency with MS Office Excellent interpersonal, communication and organizational skills Must be reliable, responsible, goal oriented, and flexible Adapts to change, is open to new ideas, takes on new , handles pressure, adjusts plans to meet changing needs
Meets assigned deadlines and proactively solicits feedback, acting on constructive criticism
Ability to effectively identify and address root causes for complex issues, seeking input from others where appropriate
Ability to build strong relationships, both internally and externally, through effective professional interactions, collaboration, and established trust in ability to execute best practice solutions ​​Preferred Skills​
Familiar with ICD-9/ICD-10, CPT Coding, revenue codes, UB and 1500 billing formats
Strong leadership skills
Prior experience in account/dispute resolution process, preferably in healthcare
Experience with nThrive Contract Management and/or Collections Management, Epic, Meditech, Cerner, Invision, Paragon, Soarian, STAR, NextGen, AllScripts
Experience working with or for a hospital/hospital system across a range of diverse business functions and/or organizational entities
SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class. California Job Candidate Notice Originally posted on Himalayas