Payment Variance Team Lead - Oklahoma Heart Hospital

Join Our Team at Oklahoma Heart Hospital (OHH)

ONE TEAM. ALL HEART. At OHH, we believe that patient care is truly at the heart of everything we do. Our dedicated team members are involved in every step of our patients’ journeys, bringing hope, compassion, and healing to both patients and their families. Together with our physicians and caregivers, we’re shaping the future of heart care in Oklahoma by serving the state and leading the nation.

Why You'll Love Working Here:

• Comprehensive Benefits:
  • Medical, Dental, and Vision coverage
  • 401(k) plan with employer match
  • Long-term and short-term disability
  • Employee Assistance Programs (EAP)
  • Paid Time Off (PTO)
  • Extended Medical Benefits (EMB)
  • Opportunities for continuing education and professional growth

Please note that benefits may vary by position, and some roles (like PRN, Flex, Float, etc.) may have exclusions. For eligible positions, benefits start on your first day!

We can’t wait for you to join our heart-centered team!

The OHH Payment Variance Team Lead is responsible for triaging and resolving all payment variances for hospital and professional billing. Directly oversees all credit balances, to include patient & insurance refunds, in accordance with department standards and policies. Identifies and corrects variances caused by posting or contract errors, conducting root cause analysis and leading efforts to fix trends at the source. Researches and pursues verified underpayments by insurance companies, drafting appeals as needed to obtain payment in full. Provides non-supervisory education and insights to fellow employees.  Makes independent decisions as to the management of accounts, to include initial approval of all refund requests for the organization. Performs all work in accordance with the mission, vision and values of Oklahoma Heart Hospital.

• Using Credit Balance Report, promptly identify and research credit balances and overpayments to ensure timely refunding of any confirmed overpayment for Federal and Non-Federal payers.
• When notified a refund is due to a payer or patient (support documentation provided) by co-worker, refund request is completed within 24 hours and submitted to proper approval hierarchy.
• Once it is determined a credit balance is due, complete refund request within 30 Days for federal payers and 60 days for non-federal payers.
• File Medicare Credit Balance Report Quarterly in accordance with CMS (Medicare) guidelines and Hospital Policy and Procedures.

Education: Associate’s degree or equivalent experience, or combination of education & experience. High school diploma required.

Experience: Two (2) years job related experience in Revenue Cycle required, with emphasis on Cash Posting, Refunds & Credit Balances, or Insurance Follow-Up/Denials. Epic experience strongly preferred.

Working Knowledge: Must be proficient on a personal computer and have experience with Microsoft Office including Excel and Word. Must have working knowledge of various insurance reimbursement methodology and payer contracts. Must be savvy with government payer regulations, to include Medicare credit balance reporting.

Every team member at OHH plays an integral role in our patients’ experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.

Learn more about diversity at Oklahoma Heart Hospital.

As part of our team, you are empowered to work collaboratively with our physicians and other caregivers, and play an integral role in setting the standard for excellence in patient care. Every team member at OHH plays an integral role in our patients’ experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.