Sr. Variance Specialist
Job in
Savannah, Chatham County, Georgia, 31441, USA
Listing for:
St. Joseph’s/Candler Health System
Full Time
position
Listed on 2026-02-06
Job specializations:
Job Description & How to Apply Below
Position: Sr. Payment Variance Specialist
The Sr. Payment Variance Specialist has detailed knowledge of insurance contracts and ensures that all paid claims are compliant with the detailed terms of the contract. The position collaborates with insurance representatives and provider contract representatives to submit claims for any underpayments to ensure compliance with contract terms.
Education
Associates or college attendance - Preferred
Experience
2-3 Years Hospital billing/reimbursement - Required
License & Certification
None Required
Core Job Functions
Utilizes healthcare and auditing experience to estimate the “expected payment” per contract terms that should be collected on each account.Escalates audit issues to resolve incorrect expected model rates in the finance system with managed care leadership, ensuring financial reserves are accurate, especially when manual calculations differ from system-generated reimbursements.Resolves data discrepancies by correcting incorrect data points, such as wrong insurance plans loaded, and flags trends for feedback to prevent false variances.Participates as a key resource in quality contract management, representing the system at payer meetings and with payer contracting representatives. Serves as a resource for managed care contract leadership, including the CFO.Prepares insurance disputes to obtain additional payments on cases with payment variances, making decisions on claim validation using advanced contract knowledge, and escalating trends to the Payer Steering Committee or legal avenues when appropriate.Serves as a subject matter expert, providing feedback on contract improvements during negotiations.Participates in workflow development and software optimization to streamline processes and enhance productivity.Not the right fit? Join our Professional Talent Network to learn about current and future job opportunities.
Learn more about the benefits available to SJ/C co-workers, including wellness programs, insurance options, child care, and housing opportunities, as SJ/C invests in the health and well-being of its team members. to learn more.
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