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Payment Variance Representative in Corporate at Alta Hospitals System

Date Posted: 1/30/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Corporate
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    1/30/2019
  • Job ID:
    11052

Job Description



Payment Variance Representative

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Payment Variance Representative reviews and responds to all requests for refunds from patients and insurance companies.  The incumbent is responsible for analyzing all credit balance accounts to determine if a refund or a contractual adjustment is warranted and processes those refunds or adjustments. 



Job Responsibilities/Duties

  • Reviews all newly created credit balances to determine if a refund is due or if an adjustment needs to be posted. 
  • Documents the findings on the account in a timely and accurate manner. 
  • Identifies trends and patterns of payer or internal behavior and communicates them to leadership.  
  • Processes refund requests, when appropriate, or enters an adjustment request in the system.
  • Obtains information, as needed, from appropriate internal sources.    
  • Maintains appropriate supporting documentation for all refunds. Maintains the Refund Log for the purpose of tracking all refund requests.  Verifies refund checks for correctness and mails the checks. 
  • Ensures daily productivity standards are met. 
  • Maintains inventory with no back-log. 
  • Prioritizes assigned tasks and conducts the appropriate follow through. 
  • Responds effectively to questions regarding refund/adjusted accounts and provides an accurate explanation of status.  
  • Performs other assigned duties within the department, including special projects, at the direction of leadership. 


Qualifications

Minimum Education: High School Diploma or GED.

Minimum Experience: Minimum of one (1) year in a patient accounting department. Previous Healthcare Experience.

Req. Certification/Licensure: None.



Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

  • Company 401K
  • Medical, dental, vision insurance
  • Paid time-off
  • Life insurance


How to Apply

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm

Keywords: Finance, Accounting, Specialist, Accounts, Patient



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