Job Title:

Payment Variance Specialist (remote)

Location:

Orlando, FL

Pay range - $21.73-$31.07 - Offers are based on experience.

Position Summary:

We are seeking a detail-oriented and collaborative Reimbursement Analyst to ensure providers are accurately credentialed and reimbursed in alignment with payer contracts and guidelines. In this role, you will analyze professional fee reimbursements, resolve payment variances, and support provider enrollment processes. This position offers the opportunity to collaborate across credentialing, contracting, billing, and practice operations teams while playing a key role in driving financial accuracy and operational success.

Key Responsibilities:

Load provider profiles with managed care payers accurately and timely
Submit credentialing reports and confirm updates in payer systems
Enter effective dates and provider numbers into Athena/Epic and MSOW systems
Review and resolve claim denials related to credentialing and enrollment status
Analyze and identify payment variances for commercial and government payers
Communicate with payers to request updates and resolve reimbursement discrepancies
Review contractual adjustments and categorize variance types for reporting
Serve as a resource on commercial and government payer rules and reimbursement trends
Collaborate with billing, credentialing, and contracting teams to optimize processes
Complete special projects assigned by the Reimbursement Manager

Qualifications:

Required:

High school diploma or equivalent
Minimum 3 years of healthcare reimbursement experience (commercial and government payers)
Knowledge of reimbursement rules and regulations for commercial and government programs
Proficiency in Microsoft Office and payment variance software
Strong analytical, problem-solving, and interpersonal skills
Detail-oriented with the ability to work independently in a fast-paced environment

Preferred:

Bachelor’s degree in healthcare, business administration, or related field
Experience with Athena, Epic, and MSOW systems
Background in claims denial follow-up and provider credentialing processes

Why Join Us?

Collaborate with a supportive team committed to operational excellence
Play a key role in driving payment accuracy and provider success
Competitive compensation and benefits package
Opportunities for professional growth and development

Apply today and contribute to delivering financial integrity and excellence in healthcare!