Revenue Integrity Specialist 1

5 days ago


Frankfort, United States Baptist Healthcare System, Inc. Full time

Job Description:

Baptist Health is looking for a Revenue Integrity Specialist I to join our team. This is a remote position that requires residency in KY or IN

Research denials or audits from all commercial and governmental payors. Performs payor compliance review on accounts to determine medical necessity of services, pre and post service as well as pre and post billing. Obtains predeterminations, prior authorizations, and retro authorizations when required by payor. Responds to all account reviews with the best possible efforts to ensure reimbursement, recover outstanding revenue, and prevent future revenue loss while meeting all appropriate payor or government timelines. Recovery efforts include but are not limited to written letter, email, web site, and telephonic communication.

Minimum Education, Training and Experience Required

* Bachelor's Degree in a related field, Practical Nurse License, or Coding Certification with at least two years healthcare experience. In lieu of bachelor's degree, five years of healthcare experience required with at least two of those in a revenue cycle related area such as registration, patient accounting, financial services, or managed care.

* Requires knowledge of medical terminology; payor reimbursement guidelines (authorization / notification, medical necessity, and timely filing guidelines); payor denial appeal resolution processes; and managed care contracts. Individuals working with government audits must have a keen understanding of all audit response requirements and timelines.

If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now

Baptist Health is an Equal Employment Opportunity employer.



  • Frankfort, United States Baptist Healthcare System, Inc. Full time

    Job Description: Baptist Health is looking for a Lead Revenue Integrity Specialist to join our team. This is a remote position that requires residency in KY or IN Supports the day-to-day operations related to payor compliance or denial management for all payors. Supports implementation and maintenance of standardized workflows developed in collaboration with...


  • Frankfort, Kentucky, United States Baptist Healthcare System, Inc. Full time

    Job Description:Baptist Health is looking for a Revenue Integrity Specialist I to join our team. This is a remote position that requires residency in KY or IN Research denials from all commercial and governmental payors, including pre-denial audits performed by UPICs or similar entities. Performs payor compliance review on accounts to determine medical...


  • Frankfort, United States Baptist Healthcare System, Inc. Full time

    Job Description: Baptist Health is looking for a Revenue Integrity Specialist I to join our team. This is a remote position that requires residency in KY or IN Research denials from all commercial and governmental payors, including pre-denial audits performed by UPICs or similar entities. Performs payor compliance review on accounts to determine medical...


  • Frankfort, United States HCA Full time

    Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Medical Records Specialist opening with Frankfort Regional Medical Center today and find out what it truly means to be a part of the HCA Healthcare team. Benefits Frankfort Regional Medical Center, offers a total rewards package that...


  • Frankfort, United States HCA Full time

    Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Medical Records Specialist opening with Frankfort Regional Medical Center today and find out what it truly means to be a part of the HCA Healthcare team. Benefits Frankfort Regional Medical Center, offers a total rewards package that...


  • Frankfort, Kentucky, United States HCA Healthcare Full time

    Description IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our Medical Records Specialist opening with Frankfort Regional Medical Center today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsFrankfort Regional Medical Center, offers a total rewards package...


  • Frankfort, Kentucky, United States HCA Healthcare Full time

    Description IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our Medical Records Specialist opening with Frankfort Regional Medical Center today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsFrankfort Regional Medical Center, offers a total rewards package...


  • Frankfort, Kentucky, United States Kentucky Personnel Cabinet Full time

    Job Advertisement Closes: June 9, 2024, 8:00 PM EDT Taxpayer Services Specialist I Pay Grade: 12 Salary: $2,000 - $4,000 Monthly Employment Type: EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18A | HR/WK Hiring Agency: Finance & Administration Cabinet | Department of Revenue Location: 501 High Street, Frankfort, KY 40601 USA Description: Are you...


  • Frankfort, Kentucky, United States Kentucky Personnel Cabinet Full time

    Job Title: Administrative Specialist IIICompany: Kentucky Transportation CabinetThe Kentucky Transportation Cabinet is dedicated to meeting the needs and expectations of its customers, employees, and partners. Their goal is to continuously enhance the delivery of transportation solutions that promote economic opportunity and improve the quality of life in...


  • Frankfort, Michigan, United States SpartanNash Full time

    At SpartanNash, we deliver the ingredients for a better life through customer-focused innovation. We do this for our supply chain customers and U.S. military commissaries, retail store guests and, most importantly, our Associates. In fact, we see a day when each will say, "I can't live without them." Our SpartanNash family of Associates is 17,000 strong,...


  • Frankfort, United States Pactiv Evergreen Full time

    Overview: **Now Hiring! - Operator Specialist - Thermoforming! Frankfort, Il.** The Operator Specialist is responsible for supporting the efficient operation of one production line within the Foams thermoforming department. Shifts: 12 hour shifts 7am to 7pm (Day Shift) 7pm to 7am (Night Shift) every other weekend off!!! 2,2,3 schedule **Pay Rate: $22.55...


  • Frankfort, United States System One Full time

    System One Documentation Specialist (West Coast Hours) Frankfort , Kentucky Apply Now Documentation Specialist (West Coast Hours) Employment Type: Full Time Date Posted: 4/2/2024 Location: Remote Job Number: JO-2404-2382 Primary Function Our Fortune 100 tech client is seeking a seasoned Documentation Specialist with expertise in back-end design and...


  • Frankfort, Kentucky, United States Kentucky Personnel Cabinet Full time

    Join Our Team as an Administrative Specialist Senior! We are seeking a dedicated and detail-oriented Administrative Specialist Senior to join the Office of Procurement Services (OPS) within the Kentucky Finance Cabinet. If you are passionate about providing exceptional customer service, maintaining professionalism, and are eager to take on a variety of...

  • Shipping Specialist

    1 week ago


    Frankfort, Kentucky, United States Würth Full time

    Job Title: Shipping Specialist Shift : 1st Shift, 9:00am- 5:30pm, M-F Pay : $17/hr. The primary responsibility of this Shipping Specialist position is to have the ability to use an RF gun and to accurately, neatly, and productively pick orders to a box in all areas of the shipping department. With the additional ability and/or knowledge to manifest...


  • Frankfort, United States Jobs for Humanity Full time

    Company Description Jobs for Humanity is collaborating with FIS Global to build an inclusive and just employment ecosystem. We support individuals coming from all walks of life. Company Name: FIS Global Job Description Position Type : Full time Type Of Hire : Experienced (relevant combo of work and education) Education Desired : Bachelor of Business...


  • Frankfort, Kentucky, United States HCA Healthcare Full time

    Description IntroductionDo you have the career opportunities as a(an) Medical Office Specialist you want with your current employer? We have an exciting opportunity for you to join Commonwealth Specialists of Kentucky which is part of the nations leading provider of healthcare services, HCA Healthcare.BenefitsCommonwealth Specialists of Kentucky, offers a...


  • Frankfort, Kentucky, United States HCA Healthcare Full time

    Description IntroductionDo you have the career opportunities as a(an) Medical Office Specialist you want with your current employer? We have an exciting opportunity for you to join Commonwealth Specialists of Kentucky which is part of the nations leading provider of healthcare services, HCA Healthcare.BenefitsCommonwealth Specialists of Kentucky, offers a...

  • Contract Specialist

    1 week ago


    Frankfort, Kentucky, United States HomeSafe Alliance Full time

    HomeSafe Alliance Contract Specialist Frankfort , Kentucky Apply Now HomeSafe is seeking a Contract Specialist to join our GHC Contracts Team and to provide all forms of contract-related administrative support through all phases of contract execution, administration, and closeout. The Contract Specialist position will perform a range of contract...


  • Frankfort, Kentucky, United States Suntory Global Spirits Full time

    Suntory Global Spirits is a world leader in premium spirits with $5.5 billion in annual revenues and an ambition to become the World's Most Admired Premium Spirits Company. We have a strong vision and strategy, an incredible brand portfolio grounded in quality and craftsmanship, an unwavering commitment to sustainability and top talent across the...


  • Frankfort, Kentucky, United States Suntory Global Spirits Full time

    Suntory Global Spirits is a world leader in premium spirits with $5.5 billion in annual revenues and an ambition to become the World's Most Admired Premium Spirits Company. We have a strong vision and strategy, an incredible brand portfolio grounded in quality and craftsmanship, an unwavering commitment to sustainability and top talent across the...