Aspirion
Revenue Cycle Management Services | Advanced Technology, Top Talent, Optimal Revenue Results
Manager, Payment Variance, Revenue Integrity
Location
California
Posted
11 days ago
Salary
Not specified
Bachelor Degree5 yrs expEnglishSQL
Job Description
• Proactively identify and resolve charge capture opportunities and issues in revenue-producing departments, reducing denial rates
• Lead complex audits, analyze financial trends, and prepare methodologies for annual billing and coding changes
• Provide guidance and support to leaders and teammates as an informal leader
• Review contracts between hospitals and insurance carriers, model claims data, and identify lost revenue
• Perform analysis on large data sets to identify underpayment and denial trends related to billing and coding
• Conduct research on current laws and regulations pertaining to hospital reimbursement methodology
• Contribute to client decks and weekly reports to track progress of project goals and present to leadership
• Attend Privacy and Security Training as required by the HIPAA Awareness Program and comply with all guidelines, policies and procedures to assure sensitive or confidential information is protected in accordance with the HIPAA rules and regulations
Job Requirements
- Detail-oriented and organized with the ability to manage time effectively and prioritize competing tasks
- Excellent communication skills both written and verbal
- Basic to experienced knowledge of Excel
- Effective documentation skills
- Strong organizational skills
- Possesses analytical capabilities and financial acumen
- Must have private and dedicated workspace that ensures confidentiality
- Understanding of health insurance, EHR’s, EMR’s, and claims handling
- Undergraduate degree or internship in a healthcare related field preferred
- Healthcare operations experience preferred
- Understanding of auditing and reporting tools such as SQL
- Presentation skills and client relations experience a plus
- 5 + years of experience in Revenue Cycle or Healthcare Claims preferred
Benefits
- Flexible work environment
- Mentorship opportunities