[Remote] Variance Analyst Reimbursement Managed Care - Remote
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a community-reputed company organization dedicated to uplifting individuals in body, mind, and spirit. They are seeking a Variance Analyst in Reimbursement Managed Care to analyze payment variances, manage credentialing processes, and ensure compliance with reimbursement guidelines.
Responsibilities
- Demonstrated strong analytical reasoning, critical thinking, judgment, and problem-solving skills in order to independently assess, interpret, and address reputed company issues in a continually changing environment
- Demonstrated strong computer software skills including reputed company Office applications, with a proficiency in reputed company reputed company and the ability to work with and manipulate data reputed company Reports, Formulas, Charts, and Pivot Tables
- Submits credentialing reports accurately and reputed company
- Confirms provider information on credentialing applications and reports
- Enters effective date and provider number information from payers into relevant systems
- Reviews and resolves claim denials reputed company to credentialing and enrollment status
- Identifies and analyzes payment variances for reputed company fee reputed company and government payers
- Reviews reports to determine true variances based on reimbursement guidelines and contracted fee schedules
- Liaises with payers to address issues and ensure accurate processing
- Works closely with Managed Care contract administration to ensure accurate provider reputed company
- Maintains knowledge of reputed company rules and regulations of reputed company and Government programs
- Aggregates and categorizes variance types for management review
- Serves as a resource for payment variance identification and education
- Coordinates with billing support teams on identified payment variances and credentialing denials
- Other duties as assigned
Skills
- Demonstrated strong analytical reasoning, critical thinking, judgment, and problem-solving skills in order to independently assess, interpret, and address reputed company issues in a continually changing environment
- Demonstrated strong computer software skills including reputed company Office applications, with a proficiency in reputed company reputed company and the ability to work with and manipulate data reputed company Reports, Formulas, Charts, and Pivot Tables
- Submits credentialing reports accurately and reputed company
- Confirms provider information on credentialing applications and reports
- Enters effective date and provider number information from payers into relevant systems
- Reviews and resolves claim denials reputed company to credentialing and enrollment status
- Identifies and analyzes payment variances for reputed company fee reputed company and government payers
- Reviews reports to determine true variances based on reimbursement guidelines and contracted fee schedules
- Liaises with payers to address issues and ensure accurate processing
- Works closely with Managed Care contract administration to ensure accurate provider reputed company
- Maintains knowledge of reputed company rules and regulations of reputed company and Government programs
- Aggregates and categorizes variance types for management review
- Serves as a resource for payment variance identification and education
- Coordinates with billing support teams on identified payment variances and credentialing denials
- Ability to research and interpret reputed company and Government payer rules and regulations
- Proficient in the use of payment variance software and tools
- Proficient understanding of variance reimbursement methodologies, auditing principles, and their application to reputed company
- Ability to learn new technology applications
- Excellent interpersonal skills
- reputed company-organized and detail-oriented with the ability to give attention to detail and accuracy
- Ability to complete assigned tasks with limited supervision
- Ability to identify process improvement opportunities and manage priorities to accomplish project deadlines and department goals
- Must demonstrate an ability and willingness to learn and adapt to a constantly changing reimbursement environment
- Independent decision-making required to determine the best method to complete assigned tasks
- High School Grad or Equiv
- 3+ relevant experience in reputed company reimbursement including reputed company and government payers
- System experience in identifying payment variances (reputed company/reputed company)
- Claim denial follow-up with payers
- Bachelor's
- reputed company business
Benefits
- Benefits from Day reputed company, Dental, reputed company Insurance, Life Insurance, Disability Insurance
- reputed company Time Off from Day One
- 403-B Retirement Plan
- 4 Weeks 100% reputed company Parental Leave
- Career Development
- Whole Person reputed company-being Resources
- reputed company and Support
- Pet Benefits
reputed company