Healthcare Revenue Specialist
3 weeks ago
About TAL Healthcare
We provide full-service healthcare recruitment solutions to identify, attract, engage, and connect the best possible talent with quality healthcare professionals.
Job Summary
The Revenue Integrity Analyst will maintain a positive, collaborative relationship with assigned departments to ensure they follow charge reconciliation processes and meet key performance indicator metrics.
Key Responsibilities
- Ensure charges are built correctly in the CDM and integrated with clinical charging mechanisms.
- Audit and provide feedback on charge capture tools.
- Oversight of department charges and KPIs, ensuring they meet budget and determining root cause if not.
- Train departments on charge capture tools, rules, regulations, and workflows.
- Monitor, investigate, and resolve revenue integrity concerns and violations reported in their area.
- Serve as a resource for organizational and operational revenue integrity issues.
- Communicate and lead CDM maintenance activities.
- Validate/test/audit charge triggers to ensure systems are working as expected.
Required Skills and Qualifications
- Bachelor's degree in business administration or healthcare.
- 3+ years' experience in a healthcare business setting, including full scope revenue cycle, charging, and performance benchmarking.
- Effective communication skills and ability to interact positively with others.
- Ability to manage multiple concurrent activities.
- Working knowledge of healthcare coding and billing rules and regulations.
- Strong analytical and organizational skills.
- Computer skills essential, including Microsoft Office and healthcare software (e.g., Epic, Meditech).
About the Role
This role offers a competitive salary range of $90,000 - $120,000 per year, depending on experience. The ideal candidate will be located in NY, NJ, or CT, where this role can be remote.
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