Manager, Underpayment/Variance

Education: Associate degree in Healthcare Administration, Healthcare Management, or a related field highly preferred.

Experience: Minimum of 3 to 4 years of progressive revenue cycle experience, including at least 1 to 2 years in billing operations (HB and/or PB) within a hospital or multi-site health system with a two-year degree.

• Minimum of 3 years of supervisory experience in hospital and/or professional billing operations.

• A formal degree may be substituted with 6+ years of direct, hands-on revenue cycle and supervisory experience.

• Demonstrated experience with Epic and revenue cycle technologies.

• Proven success leading teams through organizational change and process improvement initiatives.

• License/Certification/Registration: Not required.

• Strong analytical and problem-solving skills, including the ability to:

• Conduct root-cause analysis
• Identify trends and operational issues
• Develop and present actionable recommendations
• Drive data-informed improvements

• Strong knowledge of:

• Payer adjudication practices
• CPT and ICD coding impacts on reimbursement and denials
• Contract terms and payer agreements
• Clinical documentation requirements and their influence on payments

• Proven leadership, coaching, and performance management capabilities.

• Proficiency with:

• Reporting and analytics tools
• Microsoft Excel
• Data analysis and interpretation
• Data-driven decision making

• Excellent communication and stakeholder management skills, with the ability to collaborate effectively across:

• Clinical teams
• Financial operations
• Information Technology (IT) departments
• Revenue cycle stakeholders

• High attention to detail, integrity, and professionalism.

• Demonstrated commitment to:

• Regulatory compliance
• Audit readiness
• Operational accuracy
• Continuous process improvement and quality outcomes.