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Revenue Integrity Analyst

United States

Overview:

HearingLife is a part of the Demant Group, a world-leading hearing healthcare group that offers solutions and services to help people with hearing loss connect with the world around them. With over 600 locations across the United States – HearingLife’s vision is to make a life-changing difference for people with hearing loss. Our innovative technologies and know-how help improve people’s health and hearing. We create life-changing differences through hearing health. This Team Member must uphold the HearingLife Core Values:

We create trust
We are team players
We apply a can-do attitude
We create innovative solutions

The Revenue Integrity Specialist is responsible for all claim monitoring and collection activities across multiple entities.

This position is also responsible for reviewing charges, billing, and collection policies, streamlining processes, and assisting with new solutions.

Reports to the Revenue Integrity Supervisor of RCM.

Target Annual Salary range: 58k - 63k

Responsibilities:

Revenue Integrity Expertise:

- Maintain in-depth knowledge of coding, billing, and reimbursement guidelines from various payers.
- Identify opportunities to improve coding accuracy and revenue capture.
- Analyze denial trends and develop strategies for claim re-submittals and appeals.
- Collaborate with AR Follow-Up team to address claim processing issues and solutions.
- Stay updated on regulatory changes and industry best practices.

Charge Capture and Documentation:

- Collaborate with clinical and billing department to ensure proper documentation and charge capture.

Performance Improvement:

- Identify and address revenue cycle issues, such as missed charges, denials, and underpayments.
- Develop and implement solutions to improve revenue integrity processes.
- Track and report on key performance indicators (KPIs) related to revenue integrity.
- Participate in special projects and track performance.

A/R Management:

- Provides assistance with A/R reduction and resolution of credit balances.
- Comply with HIPAA and HearingLife guidelines.

Qualifications:

Education and Experience:

High school diploma and relevant certifications in healthcare, accounting, finance, or related field preferred.
5+ years' billing and accounts receivable experience in a high-volume of claims environment.
Demonstrated project management and process improvement skills.
Knowledge of billing and revenue cycle management
Proven ability to solve problems and implement programs to address complex needs
Advanced Excel skills, comprehensive knowledge in Microsoft Office suite
Team player prepared to help and lead others to achieve department goals, and develop and mentor staff

Certifications: Relevant certifications, such as Certified Revenue Cycle Representative (CRCR) or Certified Coding Specialist (CCS), are preferred.

Knowledge: In-depth knowledge of coding systems (CPT, ICD-10), billing rules, and payer requirements.

Skills: Analytical, problem-solving, and communication skills.

We are an Equal Opportunity / Affirmative Action employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, sex, national origin, disability, or protected veteran status.

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