Revenue Integrity Specialist

3 weeks ago

San Diego, United States Planned Parenthood of the Pacific Southwest Full time

Care. No Matter What.

As a **Revenue Cycle** **Financial Analyst** you will have the opportunity to partner and assist the Financial Planning & Analysis Supervisor, work alongside key finance and revenue cycle management and other internal/external stakeholders to develop detailed analysis, key performance indicators, and reporting to drive better business performance.

This critical position will ensure accurate payments from third party payers in compliance with Managed Care contracts and government fee schedules. Additionally, you will work internally across functions to analyze current workflows and processes to define ways to measure performance improvement, drive increased cash flow and revenue, achieve reporting efficiencies, and leverage cost savings.

**In this role, you’ll get to**: Routinely review and audit clinic billing & collections to ensure timely billing and maximize collections according to insurance contracts and established fee schedules, and proactively identify risks and problems impacting agency cash flow.

Provide thorough data analysis of all A/R behavior, with particular attention to billing, collections/follow/up, denials management, credit balance reconciliation to identify payer trends & patterns.

Identifies revenue cycle problems and recommend solutions for improvement.

Provide weekly, monthly, and quarterly reporting packages, trend analysis, and KPI reports.

Assist with recovery efforts for both over payments and under payments against contract.

Work closely with revenue cycle leadership to develop metrics to reduce controllable denials, write-offs and increase revenue intake.

Perform calculations and prepare general ledger journal entries for patient services revenues, accounts receivable, patient visits and productive hours, and other financial and/or statistical accounts as assigned.

Assist and prepare complex financial and statistical reports that summarize and forecast agency business activity and financial position utilizing financial reporting software.

Perform special analytical projects and ad hoc analyses by doing research, creating models and make recommendations based on results. Prepare pro-formas for strategic business plan initiatives and operational objectives.

Assist with the development of agency budgets by setting up budgeting software, establishing schedules, collecting, analyzing, and consolidating financial data and recommending plans.
- Assist with the monitoring and evaluation of budget-to-actual and year-over-year activity ensuring significant deviations are communicated to appropriate decision makers.

**What we’re looking for**:

- Bachelor’s Degree or Equivalent Experience (4 years total experience in Finance or Accounting) required
- 3+ years in billing, collections, accounting or finance with emphasis on financial analysis required
- Healthcare Industry experience required
- Advanced experience in working with large data sets, multiple data sources, and interpreting complex data to create meaningful information required
- Experience analyzing payer payments on medical insurance claims required
- A thorough understanding of planning and analysis for a multi-faceted healthcare organization required
- Strong written and verbal communication skills required

**Preferred Qualifications**:

- _ Previous Non-Profit experience preferred_
- _

At Planned Parenthood of the Pacific Southwest (PPPSW) the philosophy behind our compensation efforts is to foster workplace equity by aligning pay and benefit structures with our Agency’s mission and values. These efforts are continuously evaluated as we work toward living out our social justice values as an employer. PPPSW recognizes that decisions about pay and benefits have significant impact on staff, and we work diligently to ensure all positions are compensated competitively as compared to other similar positions in the community. The Affiliate establishes compensation supported by a position description that identifies competencies, duties, responsibilities and qualifications. In alignment with the Agency culture, PPPSW will strive to communicate openly and transparently about the goals of the Agency and the design of the compensation policies. The Agency will ensure the compensation program is administered in a manner that is consistent with Agency’s value of pay equity.

PTO, 401K Matching Program, Educational Assistance, Access to 1:1 Mental Fitness/Life coach, Premium CALM account and more

**We are the power of Planned Parenthood.**

We are Planned Parenthood of the Pacific Southwest, one of the largest and most prominent affiliates of the most iconic health care organization in the world. We are recognized for the wide array of services we provide and the outstanding education we deliver.

We are a prominent and powerful team of health experts who work relentlessly to help our communities sustain their health and well-being. We adhere to the highest standards and protocols as we co

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