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Revenue Integrity Analyst

Revenue Integrity Analyst

UnityPoint HealthWest Des Moines, IA, United States
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  • Area of Interest : Business Professionals
  • FTE / Hours per pay period : 1.0
  • Department : Revenue Integrity
  • Shift : Days, M-F
  • Job ID : 171393

    • Overview

    Shift : Monday-Friday, Days

    Location : Remote with strong preference for candidates residing within the UPH geographies of Iowa, Illinois, & Wisconsin

    We're seeking a Behavioral Health Revenue Cycle Integrity Analyst to join our team! In this role, you'll be a key member of the Revenue Cycle Team, and report directly to the Revenue Integrity Regional Director. This position is responsible for identifying trends and working collaboratively with leadership to produce in-depth reporting that will help improve the revenue cycle performance within the Ambulatory Clinics of UnityPoint Health (this includes clinics operated by UnityPoint Clinic and UnityPoint Health Hospitals).

    Why UnityPoint Health?

    At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

    Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few :

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  • Expect paid time off, parental leave, 401K matching and an employee recognition program .

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  • Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.

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  • Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family .

    • With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.

    And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

    Find a fulfilling career and make a difference with UnityPoint Health.

    Responsibilities

  • Responsible for creating dashboards, managing and monitoring all aspects of the clinic related revenue stream
  • Frequently interact with clinic leadership, clinic revenue cycle staff, coding staff, billing staff, and IT team
  • Provides expert consultation to leadership as the subject matter expert for revenue cycle data
  • Research and resolve charge review, claim edit, and denial in assigned work ques(WQ)
  • Provides guidance and education to Revenue Integrity Specialist related to performance monitoring and revenue integrity functions.
  • Monitor revenue cycle Key Performance Indicators and identify areas of opportunity for improvement and efficiency
  • Serves as the subject matter expert for leadership, peers and team members for denials management
  • Develop an understanding of complex rules and regulations governing insurance, appeal activities, trends, etc. and make recommendations on system build to accommodate changes in these areas

    • Qualifications

    Education :

  • High School Diploma or GED
  • Preferred :

    • Bachelor's degree in Healthcare Administration, Business, Mathematics or Computer Science.

    Experience :

  • 4 years of progressive experience in revenue cycle / medical billing
  • Preferred :

    • Behavioral Health revenue cycle experience highly desired

  • 2 years' experience in healthcare analytics

    • License(s) Certification(s) :

  • Valid driver's license when driving any vehicle for work-related reasons.
  • HFMA, MGMA or AHIMA certification desirable.

    • Knowledge / Skills / Abilities :

  • Strong skills including professionalism, interpersonal skills, ability to communicate effectively through written and verbal methods, process improvement skills.
  • Fluent with Epic and Microsoft office programs. Ability to manipulate large amounts of data.
  • Demonstrated decision making as it relates to processing, reconciling, and ensuring the accuracy of revenue and charge activity.
  • Knowledge of entire revenue cycle process
  • Knowledge of medical terminology and coding
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    Revenue Integrity Analyst • West Des Moines, IA, United States