Allegheny Health Network
Job Description :
The Managed Care Variance Collector is responsible for ensuring correct payments from payers with the goal of identifying payment variance and billing process issues to improve collections and cash receivables for AHN.
- Conducts comprehensive analytic reviews on denied patient accounts to determine if an appeal or retro review is warranted. (30%)
- Identifies and prevents denial patterns with internal teams and payers. (25%)
- Reviews payments, performs audits, adjusts accounts, and handles appeals process. (25%)
- Coordinates with other departments to resolve payer and customer issues. (15%)
- Demonstrates the ability to escalate issues to management as needed. (5%)
- Performs other duties as assigned or required.
- 5 years of hospital billing, coding, and/or financial analytics experience
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