Payment Variance Auditor I

Savista

. Review high-volume reports and historical payment information to determine reimbursement accuracy.

Posted 10/26/2026full-timeRemote • United StatesJunior💰 $43,870 - $50,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong analytical acumen and proficiency in managed care reimbursement processes, including contract analysis and compliance with HIPAA regulations. Capable of effectively communicating findings and collaborating with teams to identify and report underpayment trends.

Highest-signal resume keywords

Managed Care ReimbursementICD-9 And ICD-10 CodingCPT CodingHIPAA ComplianceAnalytical Techniques

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract Management TechnologyRevenue CodesUB Billing Format1500 Billing FormatData Analysis

Soft Skills

Self-MotivatedIndependentStrong Leadership SkillsExcellent Oral CommunicationExcellent Written Communication

Tools & Technologies

MS Office

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Underpayment TrendsManaged Care ContractsThird-Party Payor PoliciesConfidentiality ObligationsCompliance Program

About the role

Key responsibilities & impact

Review high-volume reports and historical payment information to determine reimbursement accuracy.
Review hospital managed care contracts for correct application of rates, provisions, and terms.
Identify potential underpayment trends by comparing contracts with actual reimbursement information using contract management technology.
Apply analytical techniques to remove inaccurate information and false-positive returns.
Investigate third-party payor policies and contracts against published payor guidelines.
Interface with Contract Specialist team to refine contract models when discrepancies are identified.
Verify patient benefits and eligibility to screen out denials, plan type, and demographic information that may affect underpayment trends.
Report underpayments and trends to management and the audit team for pursuit and collection.
Update reasons for pursuit and pursued amounts as needed.
Meet individual and team goals for volume and value of underpayments identified.
Support Savista’s Compliance Program by adhering to applicable policies and procedures, completing required training, reporting concerns, and handling patient information in a HIPAA-compliant manner.

Requirements

What you’ll need

High school diploma or GED.
1-2 years of experience working with managed care reimbursement and contracts.
Familiar with ICD-9 and ICD-10, CPT Coding, revenue codes, UB and 1500 billing formats.
Self-motivated and independent.
Strong analytical acumen.
Proficiency with MS Office.
Strong leadership skills.
Excellent oral and written communication skills.
Compliance with HIPAA, FDCPA, FCRA, and other applicable laws.
Demonstrable awareness of confidentiality obligations.