Savista Hiring for Mgr, Payment Variance at Remote Full Time

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Responsibilities:
Management of one or more payment variance projects, including client relationships, profitability, and performance.

Strategic inventory management, inventory breakdown, and targeted assignments to drive account resolution with maximum revenue realization.

Oversees individual staff performance, including quality and provides training support and performance improvement plans as needed.

Supervises productivity and ongoing improvement to key revenue cycle indicators

Conducts routine account activity quality audits to ensure accounts are being worked appropriately.

As a subject matter expert works with the training team to build best in class training plans.

Prepares and presents reports and logs as needed.

Drives identification of trends for client education, process improvement , payer escalation and/or payor meetings.

Defines and provides the necessary support and leadership to achieve team and department goals.

Functions as the liaison for senior project management in coordinating efforts and addressing payment variance matters.

Provides assistance/resolution to external and internal client inquiries.

Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the revenue cycle.

Supports nThrive’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to nThrive’s business practices. This includes: becoming familiar with nThrive’s Code of Ethics, attending training as required, notifying management or nThrive’s Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations.

Requirements

High school diploma or GED.

3+ years of experience in healthcare insurance accounts receivable follow up, working with or for a hospital/hospital system with more than 250 beds, working directly with government or commercial insurance payers.

6+ months of experience coaching, mentoring, supporting or supervising other colleagues.

Experience identifying billing errors and resubmitting claims as well as following up on payment errors, low reimbursement and denials.

Experience reviewing EOB and UB-04 forms to conduct A/R activities.

Strong knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and third-party payer billing and reimbursement procedures and practices.

3+ years of experience with accounts receivable software.

Ability to analyze and present inventory using MS Excel.

Experience navigating payer sites for appeals/reconsiderations, benefits verification and online claims follow up.

Ability to facilitate and influence decisions by motivating others to achieve excellence in both the quality of work and their approach to teamwork.

Strong project management skills in managing short-term project related work.

Come work for a Certified Great Place to Work 4 years in a row!

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.