Payment Variance AR Specialist I

Savista, LLC; Texas; Hybrid; USD 50,000 - 65,000; Full time

Job summary

Savista, LLC is a healthcare revenue cycle solutions provider seeking an AR Specialist to collaborate with the Payment Variance Audit team. You will initiate payer disputes and pursue recovery of reimbursements related to contractual discrepancies, discounting, and billing integrity.

Ideal candidates have an undergraduate degree or 1–2 years of experience in managed care reimbursement, strong MS Office skills, and excellent interpersonal, communication and organizational abilities.

Qualifications

• Undergraduate degree or 1-2 years experience with managed care reimbursement and contracts.
• Proficiency with MS Office.
• Excellent interpersonal, communication and organizational skills.
• Reliable, responsible, goal oriented, and flexible.
• Adapts to change, is open to new ideas, takes on new responsibilities, handles pressure, adjusts plans to meet changing needs.

Responsibilities

• This position works closely with the Payment Variance Audit team to initiate payer disputes and follow inventory through 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.

Skills

Communication

Organizational skills

Interpersonal skills

Self-motivation

Autonomous work

Education

Undergraduate degree or 1–2 years experience in managed care reimbursement/contracts

Tools

MS Office

Job description

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 Responsibilities

• This position works closely with the Payment Variance Audit team to initiate payer disputes and follow inventory through 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 responsibilities, 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.