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Revenue Integrity Analyst
2 months ago
As a Revenue Integrity Analyst, under the direction of the SVP of Revenue Cycle Management, you will be responsible for recording rates on account on a timely basis, resolving payment variances, and completing month-end close in accordance with CBO policies for facilities assigned. Performs other related duties as assigned or requested.
Who We Are:
CORA Physical Therapy
provides a full range of outpatient services for clients with orthopedic problems, work-related injuries, sport injuries, and neuromuscular and neurological conditions. Our community is built on the passion and experience of clinicians who embrace our commitment to
Treating Everyone Right
.
What You’ll Love About Us:
Competitive Pay
Medical, dental, vision, disability, and life insurance
7 paid annual holidays + PTO that grows with time
Retirement & savings plan
Career growth opportunities within CORA
Leadership development: coaching, mentorship, and skill-building activities
What You’ll Need:
High School Diploma Required (
Additional education or certification desirable)
Experience In Healthcare or related field preferred
Experience in SAP, object-oriented programming and other data analysis programs
Analytical skills that allow for the development of data-driven reports
Demonstrated ability to manage time and prioritize projects to meet deadlines
Strong written and verbal communication skills to effectively relate data to coworkers, follow instructions, and communicate professionally
Excellent critical thinking skills to help solve business problems and make decisions
General knowledge of business operations, objectives, strategies, process, and information flow
Knowledge of medical billing/collection practices
Proficiency in the Microsoft Office Suite including Excel and Teams; SQL; Power PBI, and other tools
Well organized, able to manage multiple competing demands and priorities
What You’ll Do:
Design business analysis and data recording systems for use throughout the
department
Maintain databases and perform updates as necessary to ensure accuracy
Regularly examine data reports to locate and resolve mistakes throughout
Accurately analyze and collect data for various types of business reports
Create business reports that provide insight into key data points
Communicate the results of data analysis in written and verbal form to managers
Support various departments, including collections, posting, billing and patient
Collections, in reaching their goals through analysis
Monitor data to identify changes in financial and business trends
Review each assigned account to ensure that the account balance is accurate, verifying that all correct steps have been completed by the previous departments to ensure that no billing/claim errors have occurred and the balance on the account is correct. Ensure that remaining variances are categorized as a potential over or underpayment
Verify the contracted rates and compare them with the insurance payment when the payer (insurance) is contracted with the clinic. Appeal variances to the insurance company for additional payment according to the contracted rates. For non-contracted payers, ensure the payer knows that the total claim charge is remitted
Complete manual adjustments, contract overrides and allowances as needed for accounts in which the system cannot properly adjudicate, including debit and credit balances
Perform appeals for underpayments based upon contract terms with regular follow up until account is paid
Consult with Managed Care to review unclear contract language
Submit requests to update systems timely upon rate change effective dates as needed
Reprorate accounts through systems timely upon rate change effective dates as needed
Perform daily reconciliation and edit resolution on exception reports.
CORA Physical Therapy is an Equal Opportunity/Affirmative Action employer. We are committed to building a team that represents a variety of backgrounds, experiences, and perspectives.
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