Role Description Advisors monitor financial performance, identify trends, perform root cause analysis, and problem solve 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. 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. Revenue Cycle Management (RCM) 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. - Investigate discrepancies related to payer contracts, fee schedules, charge masters, vendor pricing, or system configuration. - Prepare detailed variance reports and trend analyses for leadership and cross-functional teams. - Identify root causes of unfavorable price variances and recommend corrective actions. - Collaborate with contracting, billing, finance, supply chain, and IT teams to resolve pricing issues. - Validate pricing updates and test system changes to ensure accuracy after corrections. - Support audits and compliance reviews related to pricing and reimbursement. - Monitor ongoing price variance performance and escalate recurring or high-risk issues. - Document findings, resolutions, and process improvements in accordance with department standards. - Drive achievement of financial objectives through timely and proper payment collection of accounts receivable and resolution of credit balances. - Effectively utilize dashboards and reporting tools to assess large amounts of information, detect patterns, and identify and prioritize opportunities for improvement. - Perform root cause analysis by analyzing data, researching third-party payer policies and requirements, and investigating internal processes and quality controls. - Clearly document and communicate risks, issues, root causes, customer and financial impacts, and recommendations. Qualifications - Bachelor’s degree in related field, or equivalent work experience, preferred. - Excellent interpersonal, verbal, and written communication skills. - Able to work cross-functionally and lead projects of complex scope. - Capable of developing solutions to a broad range of difficult problems. - Excels at building relationships. - Proficient in data analytics and root cause analysis. - Self-directed and able to work independently with general guidance. - Prior medical billing experience preferred. - PC literacy in MS Office applications preferred. Requirements - Develop, maintain, and leverage relationships with third-party payers to improve processes and resolve issues. - Act as liaison between third-party payers and Cardinal Health Organization (Sales, Customer Service, Order Processing, AR Operations). - Collaborate effectively across the organization to lead and execute process improvements; gather support from colleagues and/or other key partners to influence stakeholders as necessary. - Work on complex projects of large scope. - Comply with laws and regulations as they pertain to services provided by the Company, including supporting and demonstrating compliance with the Company’s Compliance and HIPAA Plans. - Promptly report any information regarding a known or suspected violation of any applicable laws, regulations, standards, or company policy. - Represent the culture and values of the Company to other groups, agencies, and the general public, and ensure accuracy of public information materials. - As applicable, attend in-service, continuing education, or seminar programs to stay current with industry and community trends. - Attend all required Compliance, HIPAA, and other scheduled training. - Support and demonstrate the Company’s values. Benefits - Medical, dental, and vision coverage. - Paid time off plan. - Health savings account (HSA). - 401k savings plan. - Access to wages before payday with myFlexPay. - Flexible spending accounts (FSAs). - Short- and long-term disability coverage. - Work-Life resources. - Paid parental leave. - Healthy lifestyle programs.