Revenue Integrity Specialist
2 weeks ago
We are seeking a highly skilled Revenue Integrity Specialist to join our team at Sovah Health - Martinsville. As a key member of our revenue cycle team, you will play a critical role in ensuring the accuracy and integrity of our revenue streams.
Key Responsibilities- Coordinate and evaluate revenue integrity operations to ensure compliance with regulatory requirements and hospital policies.
- Develop and implement systems to manage medical necessity denials and track loss leaders by service line, payer, and provider.
- Document and track all RAC and payer audit requests, including maintaining databases to ensure timely compliance.
- Manage the submission of records and respond to denials and appeals requests.
- Share RAC findings with key stakeholders and coordinate appeals processes.
- Log, notify, and scan government correspondence to ensure timely response and compliance.
- Collaborate with departments to develop and document processes for clean automated billing of hospital claims.
- Work with scheduling, registration, clinical departments, health information management, and business office to ensure staff receive necessary education and competency assessment.
- Assist with SOX audits, insurance denial appeals, and patient charge concerns/complaints.
- Participate in the development of policies and procedures to ensure compliance within the revenue cycle.
- Collaborate with revenue cycle teams to resolve issues and refine processes to prevent future issues.
- Stay informed of current healthcare-revenue cycle trends and regulatory changes.
- High school diploma or equivalent required; college education or 2 years' experience preferred.
- Critical thinking skills, decisive judgment, and ability to work with minimal supervision.
- 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, and demonstrated knowledge of Medical Terminology.
- Strong organizational skills, ability to multi-task, and interact positively with internal and external customers.
- Skills in researching and resolving problems, issues, and ability to articulate audit findings.
- Able to perform work duties with minimal supervision.
Sovah Health - Martinsville is a full-service, acute-care hospital providing over 22 medical specialties. We are committed to providing equal employment opportunities for all applicants and employees and comply with all applicable laws prohibiting discrimination.
-
Revenue Integrity Specialist
3 weeks ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timeJob SummaryWe are seeking a highly skilled Revenue Integrity Specialist to join our team at Sovah Health - Martinsville. As a key member of our revenue cycle team, you will be responsible for ensuring the accuracy and integrity of our revenue streams.Key ResponsibilitiesCoordinate and evaluate revenue integrity operations to ensure compliance with regulatory...
-
Revenue Integrity Specialist
4 weeks ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timeJob SummaryWe are seeking a highly skilled Revenue Integrity Specialist to join our team at Sovah Health - Martinsville. The successful candidate will be responsible for coordinating, evaluating, and measuring revenue integrity operations, developing systems to manage medical necessity denials, and tracking mechanisms to measure loss leaders and improvements...
-
Revenue Integrity Specialist
2 weeks ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timeJob SummarySovah Health - Martinsville is seeking a highly skilled Revenue Integrity Technician to join our team. As a key member of our revenue cycle department, you will play a critical role in ensuring the accuracy and integrity of our revenue streams.Key Responsibilities:Coordinate and evaluate revenue integrity operations to ensure compliance with...
-
Revenue Integrity Specialist
3 weeks ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timeJob SummaryWe are seeking a highly skilled Revenue Integrity Technician to join our team at Sovah Health - Martinsville. As a key member of our revenue cycle operations team, you will play a critical role in ensuring the accuracy and integrity of our revenue cycle processes.Key ResponsibilitiesCoordinate and evaluate revenue integrity operations to ensure...
-
Revenue Integrity Specialist
2 weeks ago
Martinsville, Virginia, United States Sovah Health Full timeJob SummarySovah Health is seeking a skilled Revenue Integrity Technician to coordinate, evaluate, and measure revenue integrity operations. The ideal candidate will develop systems to manage medical necessity denials, track loss leaders, and improve service line performance.Key ResponsibilitiesCoordinate and manage RAC and payer audit requests, maintaining...
-
Revenue Integrity Specialist
3 weeks ago
Martinsville, Virginia, United States Sovah Health Full timeJob SummarySovah Health is seeking a highly skilled Revenue Integrity Technician to coordinate, evaluate, and measure revenue integrity operations. The ideal candidate will develop systems to manage medical necessity denials, track loss leaders, and improve service line performance.Key ResponsibilitiesDocument and track RAC and payer audit requests,...
-
Revenue Cycle Integrity Specialist
1 month ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timeJoin 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...
-
Revenue Cycle Integrity Specialist
1 month ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timeJob 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...
-
Revenue Cycle Specialist
4 weeks ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timeJob SummaryWe are seeking a highly skilled Revenue Cycle Specialist to join our team at Sovah Health - Martinsville. As a key member of our revenue cycle team, you will play a critical role in ensuring the accuracy and efficiency of our revenue cycle processes.Key ResponsibilitiesCoordinate and evaluate revenue integrity operations, including medical...
-
Revenue Cycle Specialist
2 weeks ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timeJob SummarySovah Health - Martinsville is seeking a highly skilled Revenue Cycle Specialist to join our team. As a key member of our revenue cycle team, you will play a critical role in ensuring the hospital receives accurate and timely reimbursement for patient services.Key ResponsibilitiesCoordinate and evaluate revenue integrity operations to ensure...
-
Revenue Cycle Specialist
2 weeks ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timeJob SummarySovah Health - Martinsville is seeking a highly skilled Revenue Cycle Specialist to join our team. As a key member of our revenue cycle team, you will play a critical role in ensuring the accurate and timely processing of patient claims.Key ResponsibilitiesCoordinate and evaluate revenue integrity operations to ensure compliance with regulatory...
-
Revenue Cycle Specialist
3 weeks ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timeAbout the RoleWe are seeking a highly skilled Revenue Cycle Specialist to join our team at Sovah Health - Martinsville. As a key member of our revenue integrity team, you will play a critical role in ensuring the accuracy and compliance of our revenue cycle operations.Key ResponsibilitiesCoordinate and evaluate revenue integrity operations to ensure...
-
Revenue Cycle Specialist
3 weeks ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timeJob SummaryWe are seeking a highly skilled Revenue Cycle Specialist to join our team at Sovah Health - Martinsville. The successful candidate will be responsible for coordinating, evaluating, and measuring revenue integrity operations, developing systems to manage medical necessity denials, and tracking mechanisms to measure loss leaders and improvements by...
-
Revenue Cycle Specialist
2 weeks ago
Martinsville, Virginia, United States Sovah Health Full time{"Job Overview":{"title":"Revenue Integrity Technician","subtitle":"Join Our Team"},"Responsibilities":{"title":"Key Responsibilities","list":["Coordinate and evaluate revenue integrity operations","Develop systems to manage medical necessity denials","Develop tracking mechanisms to measure loss leaders and improvements by service line, payer and...
-
Healthcare Revenue Assurance Technician
4 weeks ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timeAre 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...
-
Medical Billing Integrity Coordinator
4 weeks ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timeAre 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...
-
Healthcare Revenue Assurance Coordinator
1 month ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timeJob 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...
-
Medical Revenue Management Associate
4 weeks ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timePosition 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...
-
Revenue Cycle Management Technician
4 weeks ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timeJob 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...
-
Medical Billing Integrity Analyst
4 weeks ago
Martinsville, Virginia, United States Sovah Health - Martinsville Full timePosition 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...
