Hire the right healthcare staff with speed and precision locally or nationwide.

Learn More

How to Cost-Effectively Build a Nursing Staff in an Age of Travel Nursing

Uncover alternative and sustainable staffing solutions to address nursing shortages

Read the article

Life Sciences

Hire skilled life sciences talent by partnering with a nationwide recruitment agency with local market expertise.

Current Trends in the Life Sciences Job Market

Learn how partnering with a staffing agency is a powerful way to combat the challenges of hiring in the current life sciences job market

Read the article


Execute critical healthcare IT initiatives with increased flexibility and cost-effectiveness with us at your side.

The Technology Hiring Outlook: What We're Seeing Right Now

Uncover how to handle an employee-led technology market.

read the article

For JobSeekers

Match your unique skills with in-demand jobs at growing organizations.

Learn More

Resource Center

Explore our library of insights and tips designed to help healthcare leaders and job candidates align.

Explore resources

About Us

We’re positively impacting lives as a leading provider of workforce solutions for clients and talent.

Learn More

Back to jobs

Managed Care Denials & Variance Rep

Posted: April 15, 2024
Salary:US$22 - US$27 per hour
Job type: Contract
Discipline:Revenue Cycle
Work Location:Hybrid

Job description

We are hiring for a Managed Care and Denials Variant Representative to join our team in Melville, NY.

You will only be considered for this position if you match the listed qualifications. If you match the listed qualifications and feel you are a good fit for this position, apply today!

Please note: this is an in person position, but will turn hybrid upon conversion.

What's in it for you?

  • Dental, health, vision
  • Weekly Pay
  • PTO

Job Type: Contract to hire

Job Title: Managed Care and Denials Variant Representative

Pay: $22-27/hr

Location: Melville, NY

Shift: Monday - Friday

  • 730-330/8-4/830-430/9-5 (pick your own schedule)

Overview: Under the direction of the Hospital RRC Supervisor/ Manager, the Hospital Patient Financial Services (PFS) Representative is responsible to review all assigned third-party and/ or patient accounts, ensure that responsible payers are billed and remit payment in a timely manner, and to document account/ claim status and actions appropriately in the patient accounting system(s). Identifies, communicates and escalates complex claim issues, billing/ payment trends, and recommends solutions to leadership.

Key Responsibilities:

  • Reviews hospital accounts assigned by system generated work-queues or reports to determine appropriate actions for moving accounts forward in the revenue cycle. Performs those actions such as initiating phone calls, submitting website inquiries, writing letters of appeal to payers and inquiries to patients, recommend write offs and adjustments, ensures that account balances are valued as per payers' contracts, . all in accordance with department policies and procedures.
  • Meets and/or exceeds productivity and quality standards as set forth in the department's policies and procedures.
  • Performs root cause analyses on accounts with a solutions focus; tracks trends and escalates carrier or revenue cycle system issues to the Team Lead and/or Supervisor.
  • Participates in projects and audits as directed by leadership; collects and assembles financial documents related to billing and payment to substantiate services and reimbursement.
  • Collaborates with internal departments, external vendors, and IT for issue resolution and operational effectiveness.
  • Regularly meets with Team Lead/Supervisor to discuss and resolve billing obstacles, reimbursement issue, and process improvements.
  • Monitors accounts for timely filing guidelines and prioritizes work accordingly. Ensures claims are compliant, meet payer requirements, and billing errors/ claim rejections are resolved timely so that financial losses are minimized. Escalates and reports any delays in claims adjudication.
  • Assesses payments (or lack of) and adjustments for accuracy and timeliness. Understands and reviews payer reimbursement systems/ contracts to establish accuracy in the A/R. Reviews regulatory and contract updates to understand impacts to reimbursement from federal, state, and managed care payers. Corrects transactions and transfers balances to responsible parties as necessary in addition to reporting and documenting on-going issues to management.
  • Promotes and delivers positive patient experience and patient satisfaction
  • Performs other duties as assigned
  • Adheres to all organizational policies and procedures.


  • High school diploma (required)
  • Strong payer experience in healthcare - 1+ year(s) minimum
  • Strong denials experience in healthcare - 1+ year(s) minimum
  • Background in insurance verification - 1+ year(s) minimum
  • EPIC experience (highly preferred)

Apply today if you meet the qualifications above!