Director, Payment Variance

Med-Metrix

Parsippany-Troy Hills, NJ

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JOB DETAILS

SALARY

$120,000–$150,000 Per Year

JOB TYPE

Full-time

SKILLS

Analysis Skills, Authentication, Billing, Business Writing, Career Counseling, Communication Skills, Computer Skills, Customer Support/Service, Establish Priorities, Financial Trend Analysis, Genetics, HIPAA (Health Insurance Portability and Accountability Act), Healthcare, Healthcare Reimbursement, Identify Issues, Information Technology & Information Systems, Information/Data Security (InfoSec), Insurance, Internal Audit, Interpersonal Skills, Leadership, Managed Care, Mentoring, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Windows Operating System, Microsoft Word, Military, Multitasking, Office Equipment, Operations Processes, People Management, Peripheral Hardware, Physical Demands, Physical Security, Presentation/Verbal Skills, Problem Solving Skills, Productivity Management, Security Compliance, Smartphones, State Laws and Regulations, Team Lead/Manager, Time Management, Trend Analysis, Variance Analysis, Writing Skills

LOCATION

Parsippany-Troy Hills, NJ

POSTED

7 days ago

Job PurposeThe Director, Payment Variance will mentor, monitor and evaluate the Underpayment Collections. This position will consistently communicate with the Assistant Vice President, Managed Care to ensure efficiency and productivity in the everyday operations and recovery process. The Team is responsible for collecting outstanding insurance balances left open due to contractual discrepancies and insurance payer underpayments.Duties and ResponsibilitiesPerform payment variance analysis to identify trends in underpaid claimsPerform denials analysis to identify trends in denial patternsPerform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate resultsIdentify and report underpayments and denial trendsAbility to analyze, identify and resolve issues causing payer payment delays including billing and coding errors Managed team productivity to ensure departmental goals are achievedDevelop and mentor team member, provide career coaching motivating and supporting all employees. Provide the appropriate orientation to new and existing employees. Give the information, technology and reference materials necessary to perform their jobResponsible for ensuring that all work is done properly on a timely mannerPerform internal audits of everyday recoveriesReport and trend revenue by client, staff, etcCompile together client reporting packages, provide clients with regular updates on project statusHold quarterly staff meetings/learning sessionsAct cooperatively and courteously with patients, visitors, co-workers, management and clientsMaintain confidentiality at all timesMaintain a professional attitudeOther duties as assignedUnderstand and comply with Information Security and HIPAA policies and procedures at all timesLimit viewing of PHI to the absolute minimum as necessary to perform assigned dutiesUse, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standardsQualificationsBachelor’s degree in a related field preferredMinimum 10 years progressively responsible experience in health care revenue cycle or underpayments recovery servicesWorking knowledge of the insurance follow-up process with and understanding of the fundamental concepts in healthcare reimbursement methodologiesDetailed knowledge of Managed Care reimbursement methodologiesMust have excellent computer skills including Microsoft Windows, Outlook, Word and ExcelMust have leadership experience and the ability to manage employees.Proficiency in business writing and email correspondenceAbility to multi-task and prioritize under stressful situationsProficiency in Microsoft Office SuiteStrong interpersonal skills, ability to communicate well at all levels of the organizationStrong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analysesHigh level of integrity and dependability with a strong sense of urgency and results oriented Excellent written and verbal communication skills requiredGracious and welcoming personality for customer service interactionWorking ConditionsMust possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.Work Environment: The noise level in the work environment is usually minimal.Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

About the Company

Med-Metrix

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