Payment Variance Specialist

  • location: Franklin, TN
  • type: Temp to Perm
  • salary: $18 - $19 per hour

job description

Payment Variance Specialist

This position is responsible for follow up operations, meeting goals and company objectives, in assigned areas of patient/insurance credit balances,underpayments, collections, payment validation, customer service and correspondence using the Athena web system. This position must ensure that all process meets all government mandated procedures for integrity and compliance. Performs all responsibilities in a prompt and efficient manner. The ideal candidate will be detail oriented meeting multiple deadlines while working independently and/or in small groups. Revenue Cycle Payment Variance Specialist knowledge is required and Athena experience is preferred. 

Responsibilities

- Process refunds for patient and insurance for all markets in Athena
- Analyze patient account to determine true credit balances
-Initiate patient refunds via Athena interface
- Initiate AR followup team payer refunds and Vendor patient/insurance refunds manually via RDU
file creation
- Verify AR payer refund backup
- Upload RDU files to Cognizant via Catalyst
- Cognizant reporting in Catalyst to balance with Refund A
- Work Exceptions in Catalyst
-Create refund Payment Proposals
-Submit signed Payment Proposals to Treasury
- Enter patient refund check numbers into Athena
- Returned checks – Bad Address research addresses Meditech/Athena and update in system
- Mail Vendor payer refund checks to the vendor for mailing to payers with backup
- Mail Athena payer refund checks with all corresponding backup to appropriate address
- Follow the Abandoned Property process
- Run reports weekly related to refunds
- Maintains strict confidentiality and adheres to all HIPAA guidelines/regulations



Skills

  • Athena
  • Medical Software
  • Excel Pivot Tables
  • Excel
  • Variance Analysis
  • Responsiveness
  • Confidentiality
  • HIPAA
  • Payment Proposals
Education
  • Associates
Qualifications
  • Years of experience: 0 years
  • Experience level:Experienced
Shift: First

Working hours: 8 AM - 4 PM

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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