Revenue Integrity Specialist

4 days ago


New Lenox, Illinois, United States Silver Cross Hospital Full time
Job Title: Revenue Integrity Specialist

Silver Cross Hospital is a leading healthcare provider that values excellence and patient satisfaction. We are seeking a highly skilled Revenue Integrity Specialist to join our team.

Job Summary:

The Revenue Integrity Specialist will work closely with the Revenue Integrity Coordinator to ensure accurate and timely resolution of charging issues. This includes reviewing charging reports, resolving discrepancies, and maintaining proper documentation for audits.

Key Responsibilities:
  • Review and resolve charge rejections from Cerner to Meditech daily
  • Identify trends and report to Revenue Integrity Coordinator and Management
  • Resolve accounts that did not interface to Meditech
  • Review and resolve charges applied to incomplete or miscellaneous accounts in Meditech
  • Review and resolve ER accounts with missing E&M levels
  • Review and correct needed observation hourly charges
  • Review and resolve Room and Board discrepancies
  • Enter miscellaneous and send out lab charges as needed
  • Review late charges and report back trends to Coordinator
Requirements:
  • Must demonstrate tact and diplomacy in interpersonal interactions
  • Requires strong oral and written communication skills, analytical, problem resolution skills, and customer service skills
  • Ability to adhere to work plans and manage resources to bring about the successful completion of daily workflow and goals
  • Maintains current knowledge of relevant regulatory requirements as they relate to industry and payer regulations, policies, and procedures
Education and Training:

Bachelor's degree in Business, Healthcare, Finance/Accounting or related field preferred



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