Manager, Underpayment/Variance

Socket.dev; Gainesville (FL); On-site; USD 110,000 - 150,000; Full time

Job summary

Socket.dev is seeking a leader to drive underpayment and variance resolution for Hospital (HB) and Professional (PB) claims. You will lead recovery of underpayments, resolve variances, negotiate with payers, and push process improvements to maximize net revenue and reduce rework and aging.

The role requires 3–4 years of revenue cycle experience with 1–2 years in billing operations, plus supervisory experience and proficiency with Epic and Excel.

Qualifications

• Associate degree in Healthcare Administration, Healthcare Management, or related field preferred.
• 3–4 years progressive revenue cycle experience; 1–2 years in billing operations (HB/PB) within hospital or multi-site health system.
• Minimum of 3 years supervisory experience in hospital and/or professional billing operations.
• Formal degree may be substituted with 6+ years of direct revenue cycle and supervisory experience.
• Experience with Epic and revenue cycle technologies.
• Strong analytical, problem-solving, and data-driven decision-making capabilities.
• Excellent communication and stakeholder management across clinical, financial, IT, and revenue cycle teams.

Skills

Analytical skills

Root-cause analysis

Data analysis

Data-driven decision making

Stakeholder management

Education

Associate degree in Healthcare Administration/Healthcare Management

Tools

Epic

Microsoft Excel

Reporting & Analytics tools

Job description

Overview

Lead underpayment and variance resolution for Hospital (HB) and Professional (PB) claims. Drive recovery of underpayments, resolution of payment variances, payer negotiations, and process improvements to maximize net revenue and reduce rework and aging.

Qualifications

Education: Associate degree in Healthcare Administration, Healthcare Management, or a related field highly preferred.

Experience: Minimum of 3 to 4 years of progressive revenue cycle experience, including at least 1 to 2 years in billing operations (HB and/or PB) within a hospital or multi-site health system with a two-year degree.

• Minimum of 3 years of supervisory experience in hospital and/or professional billing operations.
• A formal degree may be substituted with 6+ years of direct, hands-on revenue cycle and supervisory experience.
• Demonstrated experience with Epic and revenue cycle technologies.
• Proven success leading teams through organizational change and process improvement initiatives.
• License/Certification/Registration: Not required.
• Strong analytical and problem-solving skills, including the ability to:
  • Conduct root-cause analysis
  • Identify trends and operational issues
  • Develop and present actionable recommendations
  • Drive data-informed improvements
• Strong knowledge of:
  • Payer adjudication practices
  • CPT and ICD coding impacts on reimbursement and denials
  • Contract terms and payer agreements
  • Clinical documentation requirements and their influence on payments
• Proven leadership, coaching, and performance management capabilities.
• Proficiency with:
  • Reporting and analytics tools
  • Microsoft Excel
  • Data analysis and interpretation
  • Data-driven decision making
• Excellent communication and stakeholder management skills, with the ability to collaborate effectively across:
  • Clinical teams
  • Financial operations
  • Information Technology (IT) departments
  • Revenue cycle stakeholders
• High attention to detail, integrity, and professionalism.
• Demonstrated commitment to:
  • Regulatory compliance
  • Audit readiness
  • Operational accuracy
  • Continuous process improvement and quality outcomes.