Payment Variance Specialist

Job Summary

Identifying and recovering discrepancies in physician reimbursements, the full-time Payment Variance Specialist will investigate payment variances, manage payer disputes, and analyze root causes of errors while working remotely.

Key responsibilities

• Analyze and compare paid claims against contracts and fee schedules to identify underpayments and overpayments
• Initiate disputes and draft appeals with insurance companies to recover lost revenue
• Conduct root cause analysis of payment errors and collaborate with internal teams to resolve issues

Required qualifications

• High School Diploma / GED or 3 years of relevant experience in lieu of diploma/GED
• 1-3+ years of experience in healthcare payor, provider, revenue cycle, or related environments
• Strong background in physician claims payment variance
• Proficiency in relevant revenue cycle processes and coding systems (CPT, HCPCS, ICD-10)
• Ability to track and report on payment trends and financial impacts