About the role
Job Summary
Advisors monitors financial performance, identifies trends, perform root cause analysis and problem solving to ensure achievement of financial goals and objectives. Advisors collaborate across a broad range of internal and external stakeholders to facilitate, design and implement processes and controls that ensure compliance with third-party payer requirements and successful collection of accounts receivable.
Within the advisor team, this role will provide price variance across three legal entities: ADS, USM, and Edgepark. The price variance advisor analyzes discrepancies between expected reimbursement and actual payer payments based on contracted rates and payer policies. The role identifies underpayments, researches root causes, and partners with collections, contracting, and billing teams to correct variances, appeal claims, and recover missed revenue.
What Revenue Cycle Management (RCM) contributes to Cardinal Health
Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero.
Responsibilities
- Serve as the subject matter expert for pricing-related escalations, partnering with Payer Relations Advisors to support submission, validation, and resolution of systemic pricing issues.
- Develop standardized escalation packages including root cause analysis, financial impact, and supporting documentation
- Provide ongoing guidance to Payer Advisors on pricing discrepancies, contract interpretation, and expected reimbursement logic
- Analyze price variances between contracted, standard, or expected prices and actual billed or paid amounts