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SalaryDiscover Better Health Careers with Rendr!
Who We Are
Rendr is the leading primary care focused, multi-specialty medical group dedicated to serving the Asian community in New York City. We strive to provide world-class, value-based health care with kindness at more than 100 clinical offices throughout Brooklyn, Manhattan, Queens, Staten Island, and Nassau County.
Why Join Rendr?
- Opportunities for professional growth and development.
- Competitive salary and benefits package.(Salary is based on previous experience and years of service.)
- Join a team that values employee, embraces diversity, and is committed to making a meaningful impact within our communities.
Benefits We Offer:
- Medical, Dental, and Vision Insurance
- 401k with Company Match
- Paid Time Off
- Paid Holidays/ Floating Holiday(s)
- Commuter Benefits
- Health Savings Account/ Flexible Spending Account/ Dependent Care Account
- Annual Performance Bonus
Job Overview:
The Senior Revenue Integrity Analyst ensures accurate and timely payments from third party payers in compliance with Managed Care contracts and government fee schedules. They review trends in third party payments, compare actual payments to managed care contract reimbursement schedules and government payer fee schedules. The Revenue Integrity Analyst will prepare relevant reports for management review. The Revenue Integrity Analyst will develop, produce, validate and distribute standard management and ad-hoc reports as requested by end-users including but not limited to: Insurance companies, Department Administrators, Coding Coordinators, Managed Care Contracting.
Essential Functions:
- Work closely with Managed Care Contracting to ensure accurate set up of contract rates in contract management system.
- Reviews contracts and payment terms closely to analyze all available revenue and take corrective measures.
- Communicates with all other revenue cycle departments to efficiently address gaps in workflow or missed opportunities.
- Effectively shares findings across the broader finance team to increase visibility and improve overall Revenue Integrity.
- Review reimbursement and variance reports from MDLand and eClinicalWorks to identify and trend discrepancies in allowed amounts.
- Create, prepare, and distribute under and overpayment reports to be shared with contracted payers for timely payment enforcement.
- Keeps a repository of claims projects and communicates with payers to resolve claim issues.
- Performs detailed, annual review of the Charge Master and CPT/HCPC code changes and updates MDLand and eClinicalWorks accordingly.
- Perform other duties as assigned.
Qualifications:
- Bachelor’s degree in business, healthcare management, finance, or a related field; MBA, MHA or MPH preferred.
- At least 5 years of leadership progressive experience in healthcare receivables management, including experience in with general and specialty physician practices..
- Strong communication and interpersonal skills with a high degree of professionalism in dealing with staff at all levels.
- Ability to analyze and evaluate data and make appropriate decisions/recommendations.
- Knowledge of financial analysis in a health care setting is strongly preferred.
- Strong quantitative, analytical, and organizational skills.
- Ability to respond to complex inquiries in a professional and efficient manner.
- Ability to research, analyze and interpret healthcare policies billing guidelines and payment terms.
- Full Microsoft Suite applications ability, with Advanced Proficiency in MS Excel skills required.
- Ability to document clinical workflows impacting revenue cycle.
Rendr is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
We look forward to reviewing your application and exploring the possibility of you joining our team!
