Hospital Contract Variance Manager

  • Full Time
  • Bronx, NY
  • Salary: $100000.0

Smith Arnold Partners

We are an academic acute care medical center looking for a Hospital Contract Variance Manager for our growing Accounts Receivable department. As the Hospital Contract Variance Manager you will have 3 Supervisors that will be direct reports and 9 union staff. You will be accountable for the ongoing monitoring of Federal, State and third party compliance of Hospital’s receivables via in-depth review of debit and credit variance accounts, special projects and audits to ensure continuation and improve upon Hospital’s annual cash flow.

Title: Hospital Contract Variance Manager
Location: Bronx, NY
Salary: $95,000+

Responsibilities:
-Accountable for the analysis and preparation of accounts that have been specifically selected for review in a state or federal audit and the subsequent monitoring of the auditor’s review including rebuttal/explanation the auditors findings to minimize Hospital’s financial liability
-identifies payment variances at the account level based on expected reimbursement from contracted managed care payers, governmental payers and non-contracted miscellaneous payers
-Knowledge and experience with revenue cycle, including the billing, follow up and payment processes, as well as, experience with payer contract language and various payment methodologies
-Ability to identify trends and/or process improvement opportunities
-This position will be the contract language expert for our many payers. To perform this role, working knowledge of various billing and payers systems will be required, as well as the ability to compare, analyze and communicate trends and/or problems is essential.

Requirements:
-Bachelor’s Degree a must
-Must have experience in a Hospital setting reading/interpreting contracts while reviewing variances and seeing trends and why variance exists
-Must have supervisory experience with strong leadership skills
-Would prefer EPIC however, a good systems background is needed

Application