Payment Variance Analyst ensuring integrity of reimbursement for medical services at Tufts Medicine. Identifying, analyzing payment variances, recovering underpayments, and collaborating with hospital departments.
Responsibilities
Identifies and analyzes payment variances, working closely with third party payers to resolve issues and ensure correct reimbursement.
Recovers underpayments.
Work with other hospital departments on issues related to payment integrity.
Analyzes and gathers supporting documentation to process appeals to third parties, and follow up with payers accordingly.
Performs research and analysis related to billing and reimbursement.
Maintains current knowledge in the areas of third party billing, reimbursement schedules and methodologies, coding, payer contracts, billing and payment rules and regulations, and hospital billing compliance.
Assists with special projects as assigned.
Requirements
Associates degree and five (5) years of provider billing and revenue cycle experience OR High school diploma or equivalent and seven (7) years of provider billing and revenue cycle experience
Basic-level Excel skills
One (1) year of Epic experience
Benefits
Comprehensive Total Rewards package that supports your health, financial security, and career growth
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