Commissions Inquiry Analyst resolving challenging commission inquiries at Avant. Collaborating with teams to ensure accuracy and clarity in commission processes while maintaining positive relationships.
TM
Hybrid Payment Variance Analyst I
Posted 1 hour ago
About the role
- 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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