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Medical Billing Integrity Coordinator
2 months ago
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 analytical skills will be highly regarded.
Primary Responsibilities:
- Oversee and assess revenue integrity activities
- Establish frameworks to address medical necessity denials
- Monitor and evaluate loss leaders and enhancements by service line, payer, and provider
- Handle RAC and Payer audit inquiries
- Address denials and manage appeals
- Collaborate with various departments to ensure seamless automated billing
- Engage in policy formulation and compliance within the Revenue Cycle
- Stay updated on trends and regulatory changes in the healthcare revenue cycle
- Confirm insurance benefits and secure precertification/authorization as required
If you possess a high school diploma or equivalent, strong analytical skills, and experience in hospital revenue cycle management, we invite you to consider this opportunity. Join a workplace that prioritizes professional growth, development opportunities, and a balanced work-life environment at Sovah Health - Martinsville.
