EOB Variance Analyst

The EOB Variance Analyst (EOB VA) is responsible for the daily review and resolution of credits and debits from receipt of payments and contractual discounts from Health Plans or Self Pay accounts as assigned. Monitors, research and/or resolves high dollar, high profile, and problem accounts, providing necessary information to various internal revenue cycle departments, clinical and corporate departments, and patients for resolution of account inquiries.

The EOBVA proofs balancing of accounts and reports trends related to balancing to management. Ensure credits and debits are addressed in a timely manner. Meeting organizational standards for productivity and quality assurance in relation to account follow-up. Review of daily payment and adjustment posting including zero payments for all payers’ payments received by external vendors or affiliated providers. Works with various vendors and payers to reconcile variances in agency inventories or variances on encounter balances related to requests such as pulling EOB’s, remit research and payment related disputes. Analysis and resolution of payment posting errors including 835 electronic posting rejections. Ability and willingness to train others in the department in relation to the timely and accurate resolution of variances following payments and adjustments. The EOB VA will answer phone inquiries regarding bills, charges and account status and compose routine correspondence, memos, letters, etc. Provide information back to the denial supervisor for assessment prevention of future occurrence that caused the variance.

Qualifications:

Education:

• High school diploma required.
• Associate degree in business related field preferred.

Experience

• Minimum two (2) years’ experience in insurance processes and billing guidelines and regulations required.
• Prior hospital billing experience preferred.

Licensure/Certification/Registration

• None

Duties & Responsibilities:

• Ability to work effectively and collaboratively with supervisors, physicians, and department heads required.
• Exemplary core customer service skills strongly required.
• Strong organizational skills required.
• Strong PC skills required.
• Strong verbal communication skills required.
• Ability to make good judgments in demanding situations.
• Ability to react to frequent changes in duties and volume of work.
• Professional and effective writing capabilities with good spelling and grammar.
• Ability to organize details logically and accurately.
• Ability to maintain positive relationships with various clinical and non-clinical team members for financial outcomes.
• Ability to manage multiple tasks with ease and efficiency.
• Self-starter with a willingness to try and suggest new ideas.
• Ability to work independently and be result oriented.
• Positive, can-do attitude coupled with a sense of urgency.
• Strong problem-solving skills.
• Ability to ensure a high level of internal and external customer satisfaction.
• Ability to use various computer applications. Excellent PC operating skills (keyboard, mouse) and use of MS Office.
• Broad knowledge of health care and its documentation.
• Basic math skills.
• Maintain confidentiality of sensitive information.
• Ability to learn office policies and procedures, Medicare, Medicaid, and third-party reimbursement methodologies.
• Knowledge of, and ability to learn local, state, and federal healthcare regulations.