Revenue Integrity Analyst

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Logo of Ensemble Health Partners

Ensemble Health Partners

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🏢 Enterprise

💰 Private Equity Round on 2022-03

Healthcare Insurance • SaaS • Enterprise

Ensemble Health Partners is a leading provider of revenue cycle management (RCM) services for healthcare organizations. They offer an end-to-end RCM solution that helps hospitals, health systems, and affiliated physician groups optimize their revenue cycles, reduce denials and underpayments, and enhance patient experiences using a combination of expert management and advanced technology. Ensemble Health Partners leverages certified operators and AI to deliver consistent results, improve collections, and support future growth for healthcare providers. They are recognized for their robust client partnerships and commitment to delivering reliable revenue lift and cost savings for their clients.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

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

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