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 inaccurate information and potential false positive returns Investigates third party payor policies and contracts to verify accuracy of underpayment variances according to published payor guidelines Interfaces with Contract Specialist team to refine contract models if discrepancies are identified Makes efforts and utilizes available resources to verify patient benefits and eligibility to screen out denials, plan type and other demographic information that may negatively impact the accuracy of identified potential underpayment trends Reports underpayments and underpayment trends to management and audit team for pursuit and collection When necessary, updates reason for pursuit and pursued amounts to accurately reflect current information Communicates well both verbally and in writing, has good listening skills, builds strong relationships, is flexible/open-minded, negotiates effectively, solicits performance feedback and handles constructive criticism. Meets established individual and team goals for volume and value of underpayments identified Supports Savista’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to Savista’s business practices. This includes: becoming familiar with Savista’s Code of Ethics, attending training as required, notifying management or Savista’s Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations. Minimum Requirements & Competencies: 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. Pay Transparency Disclaimer* Savista is required by state-specific laws to include the salary range for this role when hiring a resident in applicable locations. The annual range for this role is $43,870-$50,000 annually. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills. SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class. California Job Candidate Notice The Savista experience is the combination of everything that’s unique about our culture, our core values, our commitment to success, but most importantly, it’s our people. Our colleagues are problem-solvers, flexible and agile trusted partners who believe in a culture based on service. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us a Certified Great Place to Work 4 years in a row! It has come to our attention that there have been some bad actors using our company name to solicit personal information as part of a fraudulent hiring scam. Unfortunately, this is out of our control, but we want to make it clear that this behavior is unacceptable. All of our open roles are posted on our careers page. Should you apply for a role and be contacted by an employee of Savista, all of our interviews will be scheduled by someone with an @savistarcm.com email address and conducted over video call or in-person. We never ask you to provide personal information through other means, such as Telegram or social media platforms, as part of our interview or onboarding process. Make sure to double check our website address; there is no period in our domain name other than ".com". Savista does not and will not ask you to share any personally identifiable information (such as bank account details, SSN, etc) by any other means than a secure platform. We recommend you do not share any sensitive information over the phone or email. If you are offered a position, Savista does not and will not ask for payment to ship equipment. Fraudulent hiring scams often also ask for financial information and may ask for “advances.” Savista does not ask for any financial commitment at any stage of the recruitment process. We have reported and flagged these job scams when we’ve seen them. We also encourage you to contact your state attorney general’s office to report any potential scams and also recommend you contact any recruiting website and/or social media platform that may have been involved as well to notify them. Savista has no responsibility for fraudulent offers and advises job candidates to follow the guidance provided. California Job Candidate Notice

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