Revenue Integrity Analyst | Corporate Center | Days
Veterans in Healthcare, Yuma, AZ, United States
Overview
Revenue Integrity Analyst | Corporate Center | Days
Location: 399 West 32nd Street, Yuma, AZ 85364, United States. Job ID 12290. Full-time, days shift.
Responsibilities
Perform data queries, prepare reports, and present analyses, findings, and recommendations to management.
Identify payment variances based on expected reimbursement from contracted managed care payors, government payors, and non-contracted payors.
Engage with consultants and assist with contract negotiations; maintain data coordination with Managed Care Team.
Research healthcare regulatory changes and assess their impact on reporting; stay abreast of payer and regulatory updates.
Support Revenue Integrity Manager in financial modeling; identify underpayment trends; coordinate data and communications to the Managed Care Team.
Update and maintain contracts and rate/fee schedules by client instructions; work with IT to keep Epic Managed Care model accurate.
Monitor, analyze, identify trends, report zero payments, and collaborate with Patient Financial Services on denials.
Provide support to Chargemaster Analysts and Charge Capture Analysts on projects; identify missed opportunities and denials within work queues.
Ensure compliance with CMS Price Transparency, Shoppable Services, and Patient Estimates; maintain accuracy in Epic; collaborate with Patient Financial Services and Patient Access.
Lead efforts to improve processes/systems to increase efficiency, accuracy, and usefulness of information related to Managed Care and Price Transparency.
Conduct audits and reviews; identify issues, risks, opportunities; propose resolutions including process improvements.
Report findings to leadership and provide education and support as needed.
Qualifications
Essential:
ASSOCIATE'S DEGREE
Experience:
3+ years related experience
Ability to work independently, manage projects, and communicate effectively across the organization.
Expert level knowledge of Managed Care, payor contracts, regulations, and policies; strong analytical and problem-solving skills.
Additional Information
Salary: Base hiring salary range listed; actual salaries vary by skills and experience. Min = $27.37; Mid = $34.21; Max = $41.05 (hourly). This is one component of the total rewards/compensation package.
Employer: Onvida Health (dba Yuma Regional Medical Center). Onvida Health is dedicated to innovation, kindness, and integrity in a Southwestern Arizona community.
Location benefits and other details will be provided during the interview process.
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Revenue Integrity Analyst | Corporate Center | Days
Location: 399 West 32nd Street, Yuma, AZ 85364, United States. Job ID 12290. Full-time, days shift.
Responsibilities
Perform data queries, prepare reports, and present analyses, findings, and recommendations to management.
Identify payment variances based on expected reimbursement from contracted managed care payors, government payors, and non-contracted payors.
Engage with consultants and assist with contract negotiations; maintain data coordination with Managed Care Team.
Research healthcare regulatory changes and assess their impact on reporting; stay abreast of payer and regulatory updates.
Support Revenue Integrity Manager in financial modeling; identify underpayment trends; coordinate data and communications to the Managed Care Team.
Update and maintain contracts and rate/fee schedules by client instructions; work with IT to keep Epic Managed Care model accurate.
Monitor, analyze, identify trends, report zero payments, and collaborate with Patient Financial Services on denials.
Provide support to Chargemaster Analysts and Charge Capture Analysts on projects; identify missed opportunities and denials within work queues.
Ensure compliance with CMS Price Transparency, Shoppable Services, and Patient Estimates; maintain accuracy in Epic; collaborate with Patient Financial Services and Patient Access.
Lead efforts to improve processes/systems to increase efficiency, accuracy, and usefulness of information related to Managed Care and Price Transparency.
Conduct audits and reviews; identify issues, risks, opportunities; propose resolutions including process improvements.
Report findings to leadership and provide education and support as needed.
Qualifications
Essential:
ASSOCIATE'S DEGREE
Experience:
3+ years related experience
Ability to work independently, manage projects, and communicate effectively across the organization.
Expert level knowledge of Managed Care, payor contracts, regulations, and policies; strong analytical and problem-solving skills.
Additional Information
Salary: Base hiring salary range listed; actual salaries vary by skills and experience. Min = $27.37; Mid = $34.21; Max = $41.05 (hourly). This is one component of the total rewards/compensation package.
Employer: Onvida Health (dba Yuma Regional Medical Center). Onvida Health is dedicated to innovation, kindness, and integrity in a Southwestern Arizona community.
Location benefits and other details will be provided during the interview process.
#J-18808-Ljbffr