Patient Receivables Representative- Variance

Overview

Stamford Health is hiring for a Full-time Patient Receivables Representative Variance position. This is a full-time role Monday through Friday, 8am to 4pm or 9am to 5pm.

• Processes and follows up on nongovernment variances, including debits and credits.
• Handles inquiries from patients, third parties and agencies regarding services received or account status.
• Reviews and completes follow through on remittances for allowances and rejections.
• Updates receivable system with new, corrected or pertinent information related to resolution of receivable accounts.
• Ensure that care provided to the patient is accurately reflected on the bill and compliant with billing and patient care regulations.
• Actively work the AR to ensure reimbursement for services rendered and minimize erroneous denials.
• Ensure accounts are paid accurately and review aged AR to capture revenue and avoid erroneous charges.
• Ensure prompt, accurate, and compliant billing and payments for all third-party payer claims.
• Accurately bill and/or follow up on patient accounts according to department guidelines and insurance carrier regulations.
• Monitor and reconcile daily reports and worklists for account resolution, including credits, debits and adjustments.
• Document all actions taken on an account and complete assigned projects.
• Maintain department productivity standards and analyze variances and contracts to recover underpayments.
• Analyze accounts and contact appropriate parties for unpaid accounts; update records accordingly.
• Provide excellent customer service and act as an advocate for patients regarding third-party payer coverage, referrals and pre-certification requirements.
• Provide timely and accurate information regarding patient data/status to other health system departments while protecting patient confidentiality.
• Perform other related duties as assigned to maintain a high level of service.
• Demonstrate professional work behavior by following service standards and success factors.
• Identify payer variances and present findings to management during team meetings.

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

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

Stamford Health is a non-profit independent health care system with more than 3,800 employees, offering a wide range of health and wellness services. The system includes Stamford Hospital, Stamford Health Medical Group with offices in lower Fairfield County, and related collaborations and programs. Stamford Health is recognized for patient-centered care and has multiple affiliations and accreditations.