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LEDA Virtual Job Fair

 

Employers interested in posting their job openings on the LEDA Virtual job fair (at no cost) can send job description, qualifications, and application method to LEDA's Director of Workforce Development by email


In addition to posting your vacancies on LEDA's website, positions are also distributed to a network of workforce centers and educational institutions as appropriate.





Position: Reimbursement Variance Auditor

The Reimbursement Variance Auditor is to perform a retrospective review of accounts paid by managed care networks and/or governmental plans by data mining. The auditor will function as a liaison between A/R, Administration and Insurance carriers by coordinating the appeal efforts across multiple departments within the Revenue Cycle.

Responsibilities:
Provide expertise or general support in reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances
Perform third party contract reimbursement and utilization review for those policies and procedures related to the definition, identification and collection of denied or incorrect payments and management of denials of payment for the business office
Reviews reimbursement data for accuracy of payments, adjustments and contract procedures
Verify and compare reimbursement rates with existing fee schedules on file for accuracy
Provides input and recommends improvement to existing fee schedules in an effort to maximize reimbursement, improve billing efficiency and reduce accounts receivable aging
Provides guidance and/or assists billing representatives in the accounts receivable follow-up process
Analyze and identify trends for appeals and grievances
Where appropriate, aggregates underpayment trends for expedited processing
Provides feedback to manager regarding false positive and true underpayment issues
Maintain appropriate fee schedules and request system setup
Maintains a high level of accuracy of follow-up while maintaining thorough and concise notes documenting communication with managed care companies
Utilizes payer portal websites, client patient account systems, internal technology to continually validate activity, payment accuracy, and account status
Communicate with appropriate parties issues, implications and decisions
Liaison to billing companies, payers and other necessary parties; responsible for ensuring the correction of discoveries
Maintain thorough knowledge of reimbursement regulations related to assigned region
Provide feedback to Revenue Cycle related to improvement opportunities and appeal campaigns
Ensures that company policies and procedures are current and accurately reflect processes in order to comply with regulatory requirements.
Authority on impending reimbursement changes and current trends
Identifies system or procedural problems creating third party claim rejections. Formulates and implements plans for minimizing or eliminating these rejections
Assists in the performance contract reviews of third party payer agreements
Any other duties deemed necessary by management
Knowledge, Skills and Abilities:
Must be well organized and demonstrate effective time management skills
Excellent communication skills for working with all different levels of professionals, including executives
Must be detail oriented

Qualifications:
Bachelor's Degree
Experience: Data Analysis, Auditing, Healthcare Revenue Cycle

Application Requirements:

Apply Online

Job Posted:
07/06/2017
Application Deadline:
08/07/2017


Resume Prep & Job Search Assistance

Click below to find more information on visiting the local Business & Career Solutions Center at 706 E. Vermilion Street, Lafayette, LA where staff can assist you with resume preparation assistance, job search assistance, and referrals to training and employment opportunities.

 


 Job Posting Websites

Click Here to view a listing of upcoming job fairs.