We have other current jobs related to this field that you can find below


  • Martinsville, Virginia, United States Sovah Health - Martinsville Full time

    Join Our Team as a Revenue Integrity TechnicianAre you dedicated to maintaining revenue accuracy and efficiency within healthcare operations? Sovah Health - Martinsville is on the lookout for a Revenue Integrity Technician who will be instrumental in overseeing revenue cycle functions and optimizing reimbursements for the facility. Become part of a vibrant...


  • Martinsville, United States Sovah Health Full time

    Position Summary Sovah Health is looking for the ideal candidate who will coordinate, evaluate and measure revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure loss leaders and improvements by service line, payer and provider. · Document and track all RAC and Payer audit requests...


  • Martinsville, United States Sovah Health Full time

    Job Description Position Summary Sovah Health is looking for the ideal candidate who will coordinate, evaluate and measure revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure loss leaders and improvements by service line, payer and provider. · Document and track all RAC and Payer...


  • Martinsville, United States Sovah Health Full time

    Position Summary Sovah Health is looking for the ideal candidate who will coordinate, evaluate and measure revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure loss leaders and improvements by service line, payer and provider. Document and track all RAC and Payer audit requests...


  • Martinsville, United States Sovah Health - Martinsville Full time

    Position SummarySovah Health is looking for the ideal candidate who will coordinate, evaluate and measure revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure loss leaders and improvements by service line, payer and provider. Document and track all RAC and Payer audit requests...


  • Martinsville, United States Sovah Health - Martinsville Full time

    Job DescriptionPosition Summary Sovah Health is looking for the ideal candidate who will coordinate, evaluate and measure revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure loss leaders and improvements by service line, payer and provider. ·         Document and track all...


  • Martinsville, United States Sovah Health - Martinsville Full time

    Job DescriptionPosition Summary Sovah Health is looking for the ideal candidate who will coordinate, evaluate and measure revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure loss leaders and improvements by service line, payer and provider. ·         Document and track all...


  • Martinsville, Virginia, United States Sovah Health - Martinsville Full time

    Are you dedicated to maintaining revenue accuracy and operational efficiency in the healthcare sector? Sovah Health - Martinsville is on the lookout for a Revenue Integrity Technician who will be instrumental in overseeing revenue cycle activities and optimizing reimbursement processes for the facility. Become part of a vibrant team where your expertise and...


  • Martinsville, Virginia, United States Sovah Health - Martinsville Full time

    Job OverviewPosition Summary Sovah Health is seeking a dedicated professional to oversee and enhance revenue cycle integrity operations. This role involves developing systems to manage medical necessity denials and creating tracking mechanisms to assess performance across service lines, payers, and providers. Key Responsibilities:Maintain comprehensive...


  • Martinsville, VA, United States Sovah Health - Martinsville Full time

    Job DescriptionPosition Summary Sovah Health is looking for the ideal candidate who will coordinate, evaluate and measure revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure loss leaders and improvements by service line, payer and provider. ·         Document and track all...


  • Martinsville, VA, United States Sovah Health - Martinsville Full time

    Position Summary Sovah Health is looking for the ideal candidate who will coordinate, evaluate and measure revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure loss leaders and improvements by service line, payer and provider. ·         Document and track all RAC and Payer...


  • Martinsville, Virginia, United States Sovah Health - Martinsville Full time

    Are you dedicated to maintaining revenue accuracy and efficiency in healthcare operations? Sovah Health - Martinsville is on the lookout for a Revenue Integrity Technician who will be instrumental in overseeing revenue cycle functions and optimizing reimbursement processes for the organization. Become part of a vibrant team where your expertise and...


  • Martinsville, Virginia, United States Sovah Health - Martinsville Full time

    Job OverviewPosition Summary Sovah Health is seeking a dedicated professional to oversee and enhance revenue cycle integrity operations. This role involves developing strategies to manage medical necessity denials and implementing tracking systems to assess losses and improvements across various service lines, payers, and providers. Key...


  • Martinsville, Virginia, United States Sovah Health - Martinsville Full time

    Job OverviewPosition Summary Sovah Health is seeking a dedicated professional to oversee and enhance revenue cycle integrity operations. This role involves developing systems to manage medical necessity denials and creating tracking mechanisms to assess financial performance across various service lines, payers, and providers. Key Responsibilities:Document...


  • Martinsville, Virginia, United States Sovah Health - Martinsville Full time

    Position OverviewSummary: Sovah Health is seeking a qualified individual to oversee and enhance revenue cycle integrity operations. This role involves developing systems to manage medical necessity denials and implementing tracking mechanisms to assess performance across service lines, payers, and providers.Key Responsibilities:Maintain and document all RAC...


  • Martinsville, Virginia, United States Sovah Health - Martinsville Full time

    Position OverviewRole Summary: Sovah Health is seeking a dedicated professional to oversee and enhance revenue cycle operations. This role involves the coordination, assessment, and measurement of revenue integrity processes, as well as the development of systems to manage medical necessity denials and tracking mechanisms for service line performance.Key...


  • Martinsville, Virginia, United States Sovah Health - Martinsville Full time

    Position OverviewSummary: Sovah Health is in search of a dedicated professional to oversee and enhance revenue cycle integrity operations. This role involves developing systems to manage medical necessity denials and implementing tracking mechanisms to assess performance across various service lines, payers, and providers.Key Responsibilities:Maintain...

  • Service Technician

    3 months ago


    Martinsville, United States KL MAINTENANCE LLC Full time

    Job DescriptionJob DescriptionKL Maintenance LLC is a family operated business located in Martinsville, IN. We are looking for motivated, energetic, and caring technicians who can start immediately. As a technician, you will work as part of a dynamic and passionate team to ensure desired company growth. The ideal candidate will be an experienced technician...


  • Martinsville, United States KL Maintenance LLC Full time

    Job DescriptionJob DescriptionKL Maintenance LLC is a family operated business located in Martinsville, IN. We are looking for motivated, energetic, and caring technicians who can start immediately. As a technician, you will work as part of a dynamic and passionate team to ensure desired company growth. The ideal candidate will be an experienced technician...

  • Automotive Technician

    4 weeks ago


    Martinsville, United States Mr. Tire Auto Service Centers Full time

    Job DescriptionJob DescriptionCompany DescriptionCompany Info: Monro’s family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach. Headquartered...

Revenue Integrity Technician

2 months ago


Martinsville, United States Sovah Health - Martinsville Full time

Position Summary

 

Sovah Health is looking for the ideal candidate who will coordinate, evaluate and measure revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure loss leaders and improvements by service line, payer and provider.

 

·         Document and track all RAC and Payer audit requests including maintaining the RAC and Arthur Databases to ensure that all timelines are met.

·         Manager the submission of records and respond to denials and appeals requests.

·         Share RAC findings with key members of the organization.

·         Coordinate and manage numerous RAC notifications in varying phases of appeal based on feedback.

·         Log, notify, and scan all Government correspondence coming into the facility ensuring that all appropriate parties are informed. Maintains e-requests.

·         Works with departments which impact the hospital's ability to develop and document processes which facilitate clean automated billing of hospital claims. This includes identification of people, process, and technology issues, development of appropriate solutions, participation in roll-out of the process improvement solutions, and ongoing monitoring. Will participate on existing teams and initiate and lead project teams as needed.

·         Works with Scheduling, Registration, Clinical Departments, Health Information Management, and the Business Office to ensure all staff that impact the revenue cycle receive needed education and competency assessment. Assists in the preparation of educational material and provides education as needed.

·         Works directly with clinical operating departments, Managed Care & Reimbursement, Supply Chain and business office personnel to ensure the hospital receives all reimbursement to which it is entitled through appropriate charging and coding of patient claims.

·         Assists with SOX audits, insurance denial appeals and patient charge concerns/complaints as needed.

·         Participates in the development of policies and procedures and ensures compliance within the Revenue Cycle.

·         Participates and collaborates in resolution of the Revenue Cycle issues and refinement of the process to prevent future issues.

·         Keeps informed of current healthcare-revenue cycle trends and regulatory changes.

·         Verifies insurance benefits and obtains precertification/authorization as necessary. Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors for follow up.

·         Performs medical necessity check, when appropriate (if not already done so in scheduling or pre-registration process).

·         Able to provide coverage to other areas of registration when necessary.

 

Who We Are:

People are our passion and purpose.  Come work where you are appreciated for who you are not just what you can do. Licensed for 220 beds, SOVAH Health – Martinsville, is a full service, acute-care hospital providing over 22 medical specialties. Among the services we offer are a home health & hospice agency, advanced wound healing center, cardiac rehabilitation center, two cardiac catheterization labs, and medical & radiation oncology services.

Where We Are:

In Martinsville, explore culture and arts, enjoy kayaking or hiking and so much more in the foothills of the Blue Ridge Mountains. From the river to the racetrack, we offer plenty of activities to guarantee that you and your family have a fun filled time

 

Why Choose Us:

·         Health (Medical, Dental, Vision) and 401K Benefits for full-time employees

·         Competitive Paid Time Off / Extended Illness Bank package for full-time employees

·         Employee Assistance Program – mental, physical, and financial wellness assistance

·         Tuition Reimbursement/Assistance for qualified applicants

·         Professional development, Growth opportunities, and Mentor-based training

·         And much more…


Minimum Qualifications:

Minimum Education

High school diploma or equivalent Required. College education or 2 years’ experience preferred.

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Knowledgeable and experienced with Hospital bill processing and insurance practices. HCPC/CPT/UB04 experience, modifiers, Medicare APC's, and billing regulations required. Experience in reimbursement analysis, good written and verbal communication skills, demonstrated knowledge of Medical Terminology, strong organizational skills and the ability to multi-task. Strong computer skills including Excel and the ability to interact positively with internal and external customers. Skills in researching and resolving problems, issues and ability to articulate audit findings. Must be willing to learn new tasks and be a self-starter. Able to perform work duties with minimal supervision.

Typical Physical Demands: Requires prolonged sitting while initiating or receiving telephone calls. Requires frequent standing, bending and stooping. Requires lifting of up to 25 pounds. Required full range of motion including eye-hand coordination and manual dexterity. Requires ability to communicate and interact with others in person and on the telephone.

Minimum Work Experience

Two years' hospital revenue cycle experience preferred. Physician billing/reimbursement experience helpful. Demonstrated expertise in patient accounting management and billing systems including their uses, capabilities and limitations. Experience with coding (CPT, diagnosis, revenue and insurance codes, etc.) and a working knowledge of billing regulations, including but not limited to Medicare IP PPS and OPPS, Medicaid and commercial billing guidelines, a must. Strong understanding of Hospital Charging and rate structure.

EEOC Statement:

SOVAH Health - Martinsville is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.


Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran