Payment Variance Specialist – Physician Revenue Cycle

Guidehouse

. Identify, investigate, and recover discrepancies between expected insurance-payer reimbursement and actual payments for physician and professional services .

Posted 11/11/2026full-timeRemote • United StatesJunior💰 $38,000 - $64,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Proficient in identifying and resolving discrepancies in insurance-payer reimbursements while ensuring compliance with relevant guidelines. Demonstrates strong communication and leadership skills to foster team performance and accountability in revenue cycle processes.

Highest-signal resume keywords

Revenue Cycle ManagementClaims Payment Variance AnalysisCPT and HCPCS Coding ProficiencyLeadership and Team MentoringBilling Guidelines Research

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Discrepancy InvestigationClaims ComparisonPayer Dispute InitiationRoot Cause AnalysisCredit-Balance ReportingAging Inventory ReportingSpreadsheet ManagementCoding System InterpretationQuality Standards AdherenceHigh Production Standards

Soft Skills

Verbal CommunicationWritten CommunicationTeam CohesionAccountabilityHigh Performance

Tools & Technologies

Revenue Cycle SoftwareSpreadsheet Software

Industry Keywords

Healthcare PayorProfessional ServicesMedicare GuidelinesManaged Care ContractsFee Schedules

About the role

Key responsibilities & impact

Identify, investigate, and recover discrepancies between expected insurance-payer reimbursement and actual payments for physician and professional services
Follow and ensure compliance with client and company policies and procedures
Compare paid claims against managed care contracts, fee schedules, and expected rate matrices to identify underpayments, overpayments, and unapplied contractual adjustments
Initiate payer disputes, follow up on open inventory, and draft appeals with commercial or government insurance companies
Investigate root causes including system configuration or contract-load errors, coding mistakes, and payer pricing errors
Handle insurance and patient refunds or credit-balance reporting in compliance with Medicare guidelines
Track recurring underpayment trends, maintain aging inventory reports, and communicate financial impact to revenue-cycle leadership
Identify, validate, and report project trends and issues
Update spreadsheets and monitor outstanding client items
Provide updates to leadership, clients, and team members
Act as a role model for the team, office, and company
Perform all other job-related duties as assigned

Requirements

What you’ll need

High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED
1-3+ year's experience in office, business, operations, customer service, healthcare payor, provider, revenue cycle, or professional services environment
Strong physician claims payment variance background
Demonstrated proficiency in relevant revenue cycle processes with high production and quality standards
Strong verbal and written communication skills to effectively communicate with staff and client
Demonstrated proficiency interpreting relevant coding systems including, but not limited to, CPT and HCPCS and ICD-10 in a fast-paced environment
Demonstrated leadership qualities fostering team cohesion, accountability, and high performance
Demonstrated proficiency researching billing guidelines
Demonstrated skills providing training and mentoring to team members
Strong understanding of all software/systems used
No travel required
No clearance required

Benefits

Comp & perks

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Flexible benefits package
Flexible work arrangement (remote)