Revenue Integrity Analyst

🕒 Junho 11

🏈 Ohio – Remoto

🏈 Ohio – Remote

💵 $47.400 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🧐 Analista

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Ensemble Health Partners

SiteLinkedInTodas as Vagas

5001 - 10000 funcionários

⚕️ Seguro de Saúde

☁️ SaaS

🏢 Corporativo

💰 Private Equity Round em 2022-03

Healthcare Insurance • SaaS • Enterprise

A Ensemble Health Partners é uma das principais fornecedoras de serviços de gestão do ciclo de receita (RCM) para organizações de saúde. Eles oferecem uma solução RCM completa que ajuda hospitais, sistemas de saúde e grupos de médicos afiliados a otimizar seus ciclos de receita, reduzir recusas e pagamentos incorretos, e melhorar as experiências dos pacientes usando uma combinação de gestão especializada e tecnologia avançada. A Ensemble Health Partners utiliza operadores certificados e inteligência artificial para entregar resultados consistentes, melhorar as cobranças e apoiar o crescimento futuro dos provedores de saúde. Eles são reconhecidos por suas parcerias robustas com clientes e pelo compromisso em proporcionar aumento confiável de receita e economia de custos para seus clientes.

Descrição

• The Revenue Integrity Analyst plays a pivotal role in ensuring financial health for acute and non-acute organization by meticulously managing charge master, regulation code changes, work queues, charge capture, charge reconciliation, reporting, and analytical trending. • This includes the identification of root cause and creation/maintenance of processes to ensure charge capture. • In addition, this position is required to provide analytical insight regarding reports for charges that are not captured accurately or consistently. • This position is responsible for uncovering root causes and developing a correct action plan. • Recommends modifications to established practices and procedures or system functionality as needed to support Revenue Cycle and then manages implementation of those recommended changes.

🎯 Requisitos

• 3-5 years related experience required • Excellent knowledge of Epic, Excel and SQL queries. • Working knowledge of CPT & HCPCs coding guidelines. • Excellent computer, proof reading, and written and verbal communication skills. • Excellent interpersonal skills including the ability to communicate effectively with CHP internal and external customer base. • Ability to work independently, proactively with limited supervision and also as a team player when called upon. • Ability to work under pressure. • Ability to maintain the security of confidential information. • Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

🏖️ Benefícios

• Bonus Incentives • Paid Certifications • Tuition Reimbursement • Comprehensive Benefits • Career Advancement