Payment Variance Specialist I

Oklahoma Heart Hospital; Oklahoma City (OK); On-site; USD 45,000 - 55,000; Full time

Benefits offered by this job

Comprehensive Benefits

401(k) with employer match

Paid Time Off (PTO)

Job summary

Oklahoma Heart Hospital is seeking a Payment Variance Specialist I responsible for addressing payment variances in hospital billing. This role includes analyzing overpayments and correcting errors, ensuring compliance with policies.

The ideal candidate will have a high school diploma and at least one year of relevant experience in Revenue Cycle, along with proficiency in Microsoft Office and preferred Epic experience. Join our heart-centered team dedicated to excellence in patient care.

Qualifications

• Minimum of one (1) year of job-related experience in Revenue Cycle.
• Proficient in Microsoft Office including Excel and Word.
• Preferred experience with Epic software.

Responsibilities

• Triaging and resolving payment variances for hospital billing.
• Assisting with overpayments and credit balances.
• Conducting root cause analysis for posting errors.

Skills

Revenue Cycle Management

Cash Posting

Insurance Follow-Up

Microsoft Office (Excel, Word)

Epic

Understanding of Medicare regulations

Education

High school diploma

Job description

Overview

Join Our Team at Oklahoma Heart Hospital (OHH)

ONE TEAM. ALL HEART. At OHH, we believe that patient care is truly at the heart of everything we do. Our dedicated team members are involved in every step of our patients' journeys, bringing hope, compassion, and healing to both patients and their families. Together with our physicians and caregivers, we're shaping the future of heart care in Oklahoma by serving the state and leading the nation.

Why You'll Love Working Here:

• Comprehensive Benefits:
  • Medical, Dental, and Vision coverage
  • 401(k) plan with employer match
  • Long-term and short-term disability
  • Employee Assistance Programs (EAP)
  • Paid Time Off (PTO)
  • Extended Medical Benefits (EMB)
  • Opportunities for continuing education and professional growth

Please note that benefits may vary by position, and some roles (like PRN, Flex, Float, etc.) may have exclusions. For eligible positions, benefits start on your first day!

We can't wait for you to join our heart-centered team!

Responsibilities

The OHH Payment Variance Specialist I is responsible for triaging and resolving all payment variances for hospital and professional billing. Assists with overpayments and credit balances, to include patient & insurance refunds, in accordance with department standards and policies. Identifies and corrects variances caused by posting or contract errors, conducting root cause analysis and leading efforts to fix trends at the source. Researches and pursues verified underpayments by insurance companies, drafting appeals as needed to obtain payment in full. Collaborates with domestic and global team to ensure accurate and timely resolution to all variances. Performs all work in accordance with the mission, vision and values of Oklahoma Heart Hospital.

Qualifications

Education: High school diploma required.

Experience: One (1) year job related experience in Revenue Cycle required, with emphasis on Cash Posting, Refunds & Credit Balances, or Insurance Follow-Up/Denials. Epic experience strongly preferred.

Working Knowledge: Must be proficient on a personal computer and have experience with Microsoft Office including Excel and Word. Must have working knowledge of various insurance reimbursement methodology and payer contracts. Must be savvy with government payer regulations, to include Medicare credit balance reporting.

Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.

Learn more about diversity at Oklahoma Heart Hospital.

As part of our team, you are empowered to work collaboratively with our physicians and other caregivers, and play an integral role in setting the standard for excellence in patient care.