Patient Receivables Representative- Variance

Stamford, CT, United States

Stamford Health is hiring for a Fulltime Patient Receivables Representative Variance position!

This position is full-time Monday through Friday, 8am to 4pm or 9am to 5pm!

As a Certified Great Place to Work organization, Stamford Health understands what it takes to attract talent to improve our workforce and support our mission, to that end we offer:

• Competitive salary
• Comprehensive, low-cost health insurance plans available day one
• Wellness programs
• Paid Time Off accruals
• Tax deferred annuity and (403b) pension plan
• Tuition reimbursement
• Free on-site parking and train station shuttle
• Childcare partnership with Children’s Learning Center

• Processes and follows up on all nongovernment variances inclusive of debits and credits.
• Handles inquiries from patients, third parties and agencies regarding any aspect of services received or status of account.
• Reviews and completes follow through on remittances for allowances and rejections.
• Updates receivable system with any new, corrected or pertinent information in relation to resolution of receivable accounts.
• It is imperative that all care that is provided to the patient is accurately reflected on the bill and is in compliance with regulations pertaining to facility billing and patient care.
• It is imperative that we actively work the AR to ensure that we are reimbursed appropriately for the services rendered and to ensure that we don't receive erroneous denials.
• The staff ensures that the accounts are paid accurately as well as reviews the aged AR to make sure all revenue is captured and the patients are not erroneously held liable for charges.
• Ensure prompt, accurate, and compliant billing and payments for all third party payer patient claims.
• Accurate billing and/or follow-up of patient accounts according to established departmental guidelines based upon regulation requirements for specific insurance carriers.
• Monitors and reconciles daily reports as well as assigned worklist for appropriate account resolution inclusive to credit, debit and adjustments.
• Documentation of all action taken on an account.
• Completes all projects as assigned.
• Maintains department standards of productivity.
• Accurate analysis of variances and contracts to recover underpayments/resolve outstanding accounts receivable.
• Analyze all accounts and contacts appropriate party of unpaid accounts and updates all accounts appropriately.
• Facilitates patients' and departments in the health system by providing excellent customer service skills and serving as an advocate for the patient in explaining third party payer coverage's, referral and pre-certification requirements.
• Providing timely and accurate information regarding patient data/status to other health system departments, physicians, physician office staffs and other publics while insuring patient confidentiality is not breached.
• Performs other related duties as assigned or requested to maintain a high level of service.
• Demonstrates professional work behavior by following Service Standards and Success factors.
• Trends variances by payer to present to management during team meetings.
• Reviews proration to determine if contract loaded inappropriately.
• Ability to analyze and identify variances to determine if payer or hospital has misinterpreted contract terminology.

• Two years college, and/or two years prior equivalent experience in a hospital setting with experience in revenue cycle.
• Computer literacy in PC environment is required
• strong organizational, analytical, interpersonal and communication skills.
• Familiar with hospital billing and coding.

* We are committed to building an inclusive workplace that values diversity and inclusion and reflects the diversity of the community and patients we serve.

About Stamford Health

Stamford Health is a non-profit independent health care system with more than 3,800 employees committed to caring for the community through a wide range of high-quality health and wellness services. Patients and their families receive expert, compassionate care through the system’s 305-bed Stamford Hospital;
Stamford Health Medical Group, with more than 40 offices in lower Fairfield County offering primary and specialty care; a growing number of ambulatory locations across the region; and support through the Stamford Hospital Foundation.

Stamford Health is known for its expert, person-centered care through its many recognitions and partnerships. U.S. News & World Report has recognized Stamford Hospital as a High-Performing Hospital. The Centers for Medicare and Medicaid Services (CMS) rated Stamford Hospital as a five-star hospital for Overall Quality and The Leapfrog Group awarded Stamford Hospital an “A” for patient safety . The American Nurses Credentialing Center has granted Stamford Hospital Magnet Status, which recognizes superior patient care with the highest level of safety, quality, and patient satisfaction.

Stamford Health is Planetree Gold-Certified for Excellence in…