Revenue Integrity Analyst

Revenue Integrity Analyst

Prominent Healthcare Ownership & Management Company - Kansas City, MO

We are seeking a Revenue Integrity Analystto join our talented team!

If you are a dedicated, highly motivated, energetic, and dependable, WE WANT YOU! Apply today and let us show you how we are inspired by you.

We offer a comprehensive benefits package that includes:

• 401K with Matching Contributions
• Vacation and PTO
• Paid Holidays
• Company Phone
• Tuition Assistance
• Low-Cost Medical Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Critical Illness Insurance
• Short-Term & Long-Term Disability Insurance
• Accident Insurance
• Advancement Opportunities
• And Much More!

Revenue Integrity Analyst Overview

The Revenue Integrity Analyst is responsible for ensuring accuracy and compliance for assigned region’s reimbursement entitlement.

Revenue Integrity Analyst Responsibilities and Duties

· Process claims to ensure accuracy and compliance with Medicaid/insurance company guidelines.

· Responsible for insurance claim denials and appeals, working to resolve issues and maximize reimbursement.

· Process required adjustments.

· Stay up to date with insurance company policies, guidelines, and regulations to ensure billing compliance.

· Participate in Triple Check meeting for assigned facilities.

· Prepare & participate in scheduled reviews.

Revenue Integrity Analyst Qualifications

· Prior SNF billing experience required

Prior PCC experience highly preferred

2+ years’ experience in accounts receivable/collections/customer service/or account management.

· Significant knowledge of federal and state billing regulations for Long-Term Care.

· Proficiency in Excel and strong computer and software (Microsoft Office) skills.

· Experience with Point Click Care.

· Strong attention to detail and follow-through is required.

· Excellent communication and interpersonal skills.

· Ability to work independently and as part of a team.

· Time management skills and ability to meet deadlines.

· Flexibility and adaptability to changes in regulation and company policy and procedures.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• Day shift

Work setting:

• Remote

Work Location: Remote