Kentucky Staffing
Lead Revenue Integrity Specialist
Kentucky Staffing, Lexington, Kentucky, United States, 40507
Lead Revenue Integrity Specialist
Baptist Health is looking for a Lead Revenue Integrity Specialist to join their team in Lexington, KY. Supports the day-to-day operations within Payor Audits and/or Denials management for all payors. Works with Director to lead the development, implementation and maintenance of standardized policies, procedures and strategies including workflow for Payor Audits and Denials Management functions within Baptist Health. Serves as a system expert in Payor Audits and/or Denials Management. Qualifications: Bachelor's Degree in a related field, Practical Nurse License, or Coding Certification with at least five years healthcare experience, two of which must be in a revenue cycle related area such as registration, patient accounting, financial services, or managed care. In lieu of bachelor's degree, eight years of healthcare experience required with at least five of those in a revenue cycle related area as listed above. One year of team lead or supervisory experience preferred. Requires knowledge of medical terminology; payor reimbursement guidelines (authorization / notification, medical necessity, and timely filing guidelines); payor denial appeal / underpayment resolution processes; and managed care contracts. Individuals working with government audits must have a keen understanding of all audit response requirements and timelines. If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer. EEO Statement: Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to race, color, national origin, gender, sexual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law. Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team. Please note that Baptist Health is a drug-free workplace and employment with Baptist Health is subject to post offer, pre-employment drug testing. NOTICE OF NONDISCRIMINATION AND ACCESSIBILITY TO SERVICES Persons with hearing and speech impairments can contact Baptist Health facilities by using the Kentucky Relay Service, a toll-free telecommunication device for the deaf (TDD). For voice to TDD, call 800.648.6057. For TDD to voice, call 800.648.6056.
Baptist Health is looking for a Lead Revenue Integrity Specialist to join their team in Lexington, KY. Supports the day-to-day operations within Payor Audits and/or Denials management for all payors. Works with Director to lead the development, implementation and maintenance of standardized policies, procedures and strategies including workflow for Payor Audits and Denials Management functions within Baptist Health. Serves as a system expert in Payor Audits and/or Denials Management. Qualifications: Bachelor's Degree in a related field, Practical Nurse License, or Coding Certification with at least five years healthcare experience, two of which must be in a revenue cycle related area such as registration, patient accounting, financial services, or managed care. In lieu of bachelor's degree, eight years of healthcare experience required with at least five of those in a revenue cycle related area as listed above. One year of team lead or supervisory experience preferred. Requires knowledge of medical terminology; payor reimbursement guidelines (authorization / notification, medical necessity, and timely filing guidelines); payor denial appeal / underpayment resolution processes; and managed care contracts. Individuals working with government audits must have a keen understanding of all audit response requirements and timelines. If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer. EEO Statement: Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to race, color, national origin, gender, sexual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law. Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team. Please note that Baptist Health is a drug-free workplace and employment with Baptist Health is subject to post offer, pre-employment drug testing. NOTICE OF NONDISCRIMINATION AND ACCESSIBILITY TO SERVICES Persons with hearing and speech impairments can contact Baptist Health facilities by using the Kentucky Relay Service, a toll-free telecommunication device for the deaf (TDD). For voice to TDD, call 800.648.6057. For TDD to voice, call 800.648.6056.