Payment Variance Auditor I

Here at Savista , we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). This position is responsible for reviewing claims and payment information and underpayment identification systems to identify potential individual underpayments and underpayment trends. Identified potential underpayments and trends will be analyzed and screened to remove false positives, enabling other team members to accurately and efficiently pursue lost revenue on behalf of Underpayment Recovery clients. The auditor must ensure that all underpayment trends are identified so as to use best practices and processes to resolve. Underpayment Auditor I Essential Duties & Responsibilities: Makes use of high-volume reports to review historical payment information and determine the accuracy of reimbursements Reviews hospitals managed care contracts to determine appropriate application of rates, provisions and terms Identifies potential underpayment trends through comparison of managed care contracts to actual reimbursement information via contract management technology Applies analytical techniques during report review to remove inacc