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Contract Variance Director

New York NY

Post Date: 06/13/2017 Job ID: 4188 Department: Financial Services

Title: Contract Variance Director

Location: New York City, NY                     

Industry: Healthcare

Occupational Category: Finance

Hours: Full-time, 40 hours per week

Description: Hiring Variance Director for a top teaching hospital. The Contract Variance Director is primarily responsible for the collection and follow up of all Commercial revenue in addition to the development and implementation of all functions related to contract management and compliance related to all health plans. The Contract Variance Director position requires the creation of and management of all contracts within the EPIC billing system to ensure that revenue is accurately stated in the receivable while, tracking, recording and reporting on the resolution of payment variances that fall under the hospital and all its entities.

Responsibilities:

  • Create and maintain all contract logic in the EPIC system as well as creating ‘profiles’ in EPIC
  • Run and maintain quarterly reserve files related to both denial management as well as cost outliers
  • Analyze receivable by HMO for trends where reimbursement can be improved
  • Attend bi-monthly JOC meetings with receivable managers
  • Conduct analysis of variance for inpatient and outpatient receivables

Educational Requirements:

  • Bachelor’s degree
  • Understanding of hospital receivable as it relates not only to payment variances as well as follow up and denials
  • Understanding of denials related to Utilization Management, and how to properly asses a risk analysis report.
  • Knowledge of contract management and a thorough understanding of contract language (timely filing, fee schedules, case rates, denial provisions) as well as knowledge of EPIC and how to properly code contracts.

Experience Requirements:

  • Understanding of hospital receivable as it relates not only to payment variances as well as follow up and denials
  • Understanding of denials related to Utilization Management, and how to properly asses a risk analysis report.

Desired Skills:

  • Bachelor’s degree
  • Understanding of hospital receivable as it relates not only to payment variances as well as follow up and denials
  • Understanding of denials related to Utilization Management, and how to properly asses a risk analysis report.
  • Knowledge of contract management and a thorough understanding of contract language (timely filing, fee schedules, case rates, denial provisions) as well as knowledge of EPIC and how to properly code contracts.
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