Job Description The Variance Claims Specialist is responsible for identifying, researching, and resolving claim payment variances related to payer contracts, reimbursement methodologies, and payer policy guidelines. This role reviews underpaid, overpaid, denied, and incorrectly processed claims, analyzes root causes of discrepancies, and collaborates with revenue cycle, contracting, and payer representatives to ensure accurate reimbursement. The specialist leverages payer contracts, fee schedules, and policy documentation to validate payments and support appeals when appropriate. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.

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https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements 3+ years of healthcare revenue cycle experience with a focus on insurance follow-up, denial management, or accounts receivable. Experience working denied and rejected claims from initiation through resolution. Knowledge of billing processes, authorization requirements, and payer guidelines. Strong understanding of EOBs, remittance advice, claim edits, and appeals processes. Experience working within an EMR or billing system such as Epic, Cerner, or Meditech. Direct experience working with payor contracts & policies Knowledge of Medicare, Medicaid, and commercial payer transplant reimbursement policies. Relevant certifications such as CRCR, CPB, or CPC.