Revenue Integrity Analyst

🕒 Agosto 19

🐻 Alaska – Remoto

🐻 Alaska – Remote

💵 $31 - $44 / hora

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

🧐 Analista

👻 Score fantasma 0%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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SouthEast Alaska Regional Health Consortium (SEARHC)

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 1975

⚕️ Seguro de Saúde

🏥 Saúde

🧘 Bem-estar

Healthcare Insurance • Healthcare • Wellness

O SouthEast Alaska Regional Health Consortium (SEARHC) é uma organização de saúde dedicada a atender as comunidades do sudeste do Alasca. Com um compromisso de fornecer cuidados médicos abrangentes, a SEARHC oferece uma ampla gama de serviços, incluindo cuidados primários, cuidados especializados, saúde comportamental e vários programas de apoio em múltiplas localidades. Sua missão enfatiza o bem-estar comunitário e o acesso a serviços de saúde de qualidade, assegurando que as necessidades únicas de saúde da população da região sejam atendidas.

Descrição

• Optimize and troubleshoot revenue cycle applications • Collaborate with clinical, operational, supporting departments, and applicable stakeholders to develop integrated design solutions • Analyze available data to support Revenue Cycle team initiatives, including identification, definition, resolution planning, and implementation for system and user deviations, inconsistencies, and process failures • Serve as an internal resource on registration, authorizations, coding, CDI, CDM management, claims, edits, billing compliance, denials, remittance processing, and/or reporting and analytics • Perform workflow analysis • Analyze payer contracts and ensure payments are consistent with negotiated contracts • Identify root causes of controllable denials and partner with finance leadership to address operational issues, workflow issues, and training gaps • Perform quality assurance and validation tasks • Provide education and guidance to patient revenue-generating departments and providers to ensure appropriate charge capture

🎯 Requisitos

• Bachelor's degree or an equivalent combination of education and/or work experience — Required • 4 years of work experience may be exchanged for a bachelor's degree • 2 years of experience in Revenue Cycle, Finance, or Clinical capacity • Knowledge of end user workflows including scheduling, registration, clinical, ancillary, coding, billing and claims processing, cash posting, and/or reporting • Knowledge of national and international code sets including ICD 10CM, DSM, CPT, HCPCS, Revenue Codes, CARC/RARC, and NCCI • Knowledge of payer edits, rejections, rules, and appropriate actions and requirements for resolution • Knowledge of billing, accounts receivable, collection practices, and/or reporting requirements for IHS, CAH, FQHC, Provider Based, LTC, Rehab, Behavioral Health (CBH, SUD, 1115), and/or Retail Pharmacy enrollments • Knowledge of file structure, configuration, requirements, and troubleshooting of UB 04, CMS 1500, 837I/P, 835, and/or NCPDP D.0 • Skills in critical thinking, problem solving, and troubleshooting • Creative solution design and execution for complex problems • Exposure to Microsoft Office programs, including Word and Excel • Experience with electronic health record applications • Ability to work on different projects simultaneously and multitask in a fast-paced environment • Ability to appropriately handle overlapping commitments and deadlines • Systematic, self-motivated approach to problem solving • Ability to work independently and collaboratively as needed • AAHAM, AAPC, AHIMA, PTCB, or other professional certification or licensure — Preferred

🏖️ Benefícios

• Retirement • Paid time off • Paid parental leave • Health insurance • Dental benefits • Vision benefits • Life insurance • Long-term disability • Short-term disability • Professional advancement and development opportunities • Positive work culture • Sign-on bonuses for Registered Nurses, Hot Jobs and Certified Nurses Assistants