Revenue Integrity Specialist

Job Description

Job Description

Description :

At Currance, we believe in recognizing the unique skills and experiences that each candidate brings to our team. Our overall compensation package is competitive and is determined by a combination of your experience in the industry and your knowledge of revenue cycle operations. We are committed to offering a rewarding environment that aligns with both individual contributions and our company goals.

Benefits include paid time off, 401(k) plan, health insurance (medical, dental, and vision), life insurance, paid holidays, training and development opportunities, a focus on wellness and support for work-life balance, and more.

Please note that we are looking for people who have hospital billing experience in collections and have some HB billing experience, in high dollar collections, adjustments and denials management.

Job Overview

This position is responsible for supporting Revenue Cycle Operations as it relates to front end billing issues, billing exceptions, and edits, insurance follow-up, and all contracted payor accounts. The scope includes all professional and hospital services (diagnostic, therapeutic, or surgical) performed or billed. This position performs daily charge reconciliation and ensures all services are posted to the appropriate department in a timely manner. This position will also work with all departments to maintain a high level of charge integrity, maintain expected charge lag, and enhance reimbursement and decrease denials.

Job Duties and Responsibilities

• Must be onsite M-F, full time at HPMC
• Utilizes health system and external system tools to monitor charges and edits to ensure timely and accurate reimbursement of services rendered.
• Conducts ongoing Charge Master activities (reviews, consolidation, revenue routing, etc.) to ensure compliance with Federal guidelines.
• Enters charges and / or corrections into the appropriate system. Resolve all pre-billing edits and reconcile charge reports within the defined statement of work.
• Prepares and analyzes reports on a regular basis for governmental and regulatory data, including Medicare Bad Debt and Medicare Credit Balance, and works with the leadership to help resolve any related issues.
• Establishes and maintains access within the payer proprietary portals, clearinghouses, and any client specific websites required by the Revenue Cycle and financial team members.
• Collaborate closely with other teams to proactively identify and resolve issues or variances in expected volumes.
• Work directly with the leadership team to achieve strategic and operational objections of the department.
• Support department leadership in maintaining a high level of charge data integrity.
• Maintain strict confidentiality and adhere to all HIPAA regulations in handling financial and patient information.

Requirements : Qualifications

Knowledge, Skills, and Abilities