Qureos Mentor

Greater Austin Allergy Asthma and Immunology

<div>The Revenue Integrity &amp; Financial Analyst ensures the organization&rsquo;s financial performance is optimized through accurate fee schedules, payer reimbursement analysis, and data-driven forecasting. This role bridges billing, finance, and operations&mdash;maintaining compliant, competitive charge structures while providing actionable insights into profitability and budget planning. This is a hybrid position in the Austin, TX area.
Key Responsibilities
Fee Schedule &amp; Reimbursement Management<ul><li>
Maintain and regularly update all CPT charge schedules across payers and subsidiaries.</li><li>
Benchmark internal fee schedules against Medicare, commercial payer, and regional competitor rates.</li><li>
Monitor annual CPT / RVU / HCPCS updates and recommend adjustments to pricing.</li><li>
Audit payers for underpayments and support contract renegotiation initiatives.</li></ul>
Profitability &amp; Margin Analysis<ul><li>
Calculate cost-per-procedure and contribution margins for allergy testing, injections, biologics, and ancillary services.</li><li>
Integrate data from NetSuite, Healix/Medico, and AdvancedMD to align actual results with expected reimbursement.</li><li>
Identify opportunities to improve margins through operational efficiency or payer optimization.</li></ul>
Budgeting &amp; Forecasting<ul><li>
Partner with the CFO to build the annual budget, including revenue, direct expenses, and overhead allocations.</li><li>
Create quarterly rolling forecasts based on updated volumes, reimbursement trends, and cost variances.</li><li>
Develop models for &ldquo;what-if&rdquo; scenarios (e.g., reimbursement changes, staffing shifts, or new location openings).</li><li>
Support financial presentations to leadership and ownership.</li></ul>
Reporting &amp; Data Integrity<ul><li>
Design and maintain dashboards summarizing key metrics (CPT profitability, payer trends, overhead ratios).</li><li>
Ensure consistent data mapping between NetSuite, AdvancedMD, and Healix/Medico.</li><li>
Collaborate with US Med Billing and internal teams to validate data accuracy and reconciliation.</li></ul>
Qualifications<ul><li>
Bachelor&rsquo;s degree in Accounting, Finance, Health Administration, or related field.</li><li>
5+ years of experience in healthcare finance, revenue integrity, or reimbursement analysis (multi-location practice preferred).</li><li>
Solid understanding of CPT/HCPCS coding, payer contracting, and revenue cycle workflows.</li><li>
Proficiency in Excel / Power BI / SQL (or equivalent data tools).</li><li>
Experience with NetSuite, AdvancedMD, or similar EHR and ERP systems preferred.</li><li>
Certifications desirable: CRCR (HFMA), CPC (AAPC), or CHFP (HFMA).</li></ul></div>

Revenue Integrity & Financial Analyst (Healthcare – Allergy & Immunology)

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Greater Austin Allergy Asthma and Immunology

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Revenue Integrity & Financial Analyst (Healthcare – Allergy & Immunology)