Payment Variances Director

• Drives the end-to-end identification, analysis, and resolution of payment discrepancies to maximize revenue integrity and ensure total contract compliance.
• Executes deep-dive root cause analyses on coding errors and payer adjudication trends to significantly improve accounts receivable net down accuracy.
• Leads high-level negotiations and dispute resolution with payers to recover underpayments and enforce adherence to CPT, ICD-10, and HCPCS fee schedules.
• Collaborates cross-functionally with coding and billing teams to implement front-end process improvements and provide strategic data for future contract negotiations.
• Utilizes RCM software to monitor and report on critical KPIs, including underpayment recovery rates, aging, and overall payer performance trends.

• Preferred Credential(s):
  • Accountant. Licensure required relevant to state in which work is performed

• High School diploma equivalency with 5 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management OR Associate's degree/Bachelor's degree with 3 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management.

• Demonstrate 8–10 years of progressive healthcare revenue cycle leadership experience with a specific focus on contractual underpayment recovery and payer compliance.
• Showcase a proven track record of implementing automation and technology solutions to streamline the recognition and resolution of payment variances.
• Possess a high degree of executive presence with the ability to influence stakeholders and communicate financial risks at the C-suite level

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

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