Healthcare Revenue Integrity Specialist

4 days ago


Atlanta, Georgia, United States Pivotal Placement Services Full time
Hospital Bill Auditor Job Description

We are seeking a highly skilled Registered Nurse to join our revenue integrity team as a Hospital Bill Auditor. This is a full-time permanent opportunity that offers growth opportunities and a chance to work with a managed care company.

Key Responsibilities:

  • Conduct audits of hospital bills to ensure accuracy and compliance with department guidelines and partner parameters.
  • Collaborate with the revenue integrity team to identify and resolve billing discrepancies.
  • Develop and maintain knowledge of clinical and billing regulations.
  • Provide support to the revenue cycle team to ensure timely and accurate billing.

Requirements:

  • Current RN licensure.
  • Minimum 2 years of clinical experience in ICU, ER, or OR.
  • Experience with appeals, both writing and auditing.
  • Charge capture experience, including review of services rendered based on medical records.
  • Understanding of laboratory procedures preferred.
  • Proficiency with computers and software applications.

Benefits:

  • Competitive salary and benefits package.
  • Opportunities for professional growth and development.
  • Collaborative and dynamic work environment.
  • Recognition and rewards for outstanding performance.

About Us:

Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals from staff to leadership with both clinical and non-clinical employers. We are committed to providing exceptional service and support to our clients and candidates.



  • Atlanta, Georgia, United States Emory Healthcare Full time

    OverviewEmory Healthcare is a leading academic health system in Georgia, and we're seeking a skilled Revenue Cycle Specialist to join our team. As a Revenue Cycle Specialist, you will play a critical role in ensuring the smooth operation of our revenue cycle processes, from patient registration to final claims resolution.ResponsibilitiesIdentify patients who...


  • Atlanta, Georgia, United States Emory Healthcare Full time

    Job SummaryEmory Healthcare is seeking a highly skilled Device Integration Specialist to join our team. As a key member of our Digital Integration team, you will be responsible for ensuring seamless integration and operation of biomedical, telehealth, and medical devices at Emory Healthcare.Key ResponsibilitiesDevelop comprehensive integration plans for...


  • Atlanta, Georgia, United States Prestige Staffing - Healthcare Jobs - Revenue Cycle Full time

    Job Description**Job Summary:**We are seeking a highly skilled Medical Biller/Collector Specialist to join our team at Prestige Staffing - Healthcare Jobs - Revenue Cycle. As a key member of our revenue cycle team, you will be responsible for managing follow-up claim queues, organizing daily workload, and ensuring timely payment from insurance and government...


  • Atlanta, Georgia, United States Integrity Healthcare Full time

    {"title": "Maternal Fetal Medicine Opportunity at Integrity Healthcare", "content": "Maternal Fetal Medicine Opportunity at Integrity HealthcareWe are seeking a dedicated and experienced Maternal Fetal Medicine Physician to join our team at Integrity Healthcare in Atlanta. As a Maternal Fetal Medicine Specialist, you will be part of a dynamic and...


  • Atlanta, Georgia, United States Emory Healthcare Full time

    Job SummaryEmory Healthcare is seeking a highly skilled Device Integration Specialist to join our team. As a key member of our Digital Integration team, you will be responsible for ensuring seamless integration and operation of biomedical, telehealth, and medical devices at Emory Healthcare.Key ResponsibilitiesIntegration Planning and Business Relationships:...


  • Atlanta, Georgia, United States Skyland Trail Full time

    Job SummarySkyland Trail is seeking a highly skilled Revenue Cycle Specialist to join our team. As a key member of our Patient Accounts Department, you will be responsible for ensuring the smooth operation of our revenue cycle processes.Key ResponsibilitiesAssist in the daily operations of the Patient Accounts Department, providing exceptional customer...


  • Atlanta, Georgia, United States Skyland Trail Full time

    Job SummarySkyland Trail is seeking a highly skilled Revenue Cycle Specialist to join our team. As a key member of our Patient Accounts Department, you will be responsible for ensuring the smooth operation of our revenue cycle processes.Key ResponsibilitiesAssist in the overall daily operations of the Patient Accounts Department, providing exceptional...


  • Atlanta, Georgia, United States Alvarez & Marsal Healthcare Industry Group, LLC Full time

    About the RoleWe are seeking a seasoned Revenue Cycle Director to join our team at Alvarez & Marsal Healthcare Industry Group, LLC. As a key member of our team, you will be responsible for leading complex revenue cycle projects and driving transformational change in the healthcare industry.Key ResponsibilitiesLead revenue cycle projects, including due...


  • Atlanta, Georgia, United States Jobot Full time

    A Great Opportunity in Healthcare Revenue Cycle ManagementWe are seeking a highly skilled Revenue Cycle Manager to join our team at a fast-growing healthcare organization based in Atlanta, GA. As a Revenue Cycle Manager, you will play a critical role in ensuring the smooth operation of our revenue cycle processes, from patient registration to billing and...


  • Atlanta, Georgia, United States Emory Healthcare Full time

    Job Title: Healthcare Nurse SpecialistAt Emory Healthcare, we are committed to providing exceptional patient care and advancing the field of wound and ostomy care. We are seeking a highly skilled and experienced Healthcare Nurse Specialist to join our team.Job Summary:The Healthcare Nurse Specialist will be responsible for directing agency-wide initiatives...


  • Atlanta, Georgia, United States SENTA Partners Full time

    Revenue Cycle ManagerAt SENTA Partners, we are seeking a highly skilled Revenue Cycle Manager to oversee the entire revenue cycle process and ensure maximum efficiency and collection of payments.Key Responsibilities:Lead and manage the revenue cycle team to ensure compliance with all federal, state, and payer-specific billing and coding requirements.Develop...


  • Atlanta, Georgia, United States Jobot Full time

    Revenue Cycle Manager OpportunityA great opportunity to join a fast-growing healthcare organization based out of Atlanta, GA, offering competitive benefits and a base package.About UsWe are representing a healthcare organization that provides strategic, operational, and administrative support to our partner practices, empowering physicians to focus on their...


  • Atlanta, Georgia, United States SENTA Partners Full time

    Revenue Cycle ManagerAbout the Role:SENTA Partners is seeking a highly skilled Revenue Cycle Manager to oversee the entire revenue cycle process, ensuring maximum efficiency and collection of payments. This role will manage and optimize all aspects of the billing cycle, from patient registration and insurance verification to billing, coding, and claim...


  • Atlanta, Georgia, United States Rose International Full time

    Job SummaryRose International is seeking a highly skilled Senior Revenue Cycle Specialist to join our team. As a Senior Revenue Cycle Specialist, you will be responsible for maximizing reimbursement from various insurance plans by resolving complicated denials, short payments, billing errors, and other claim issues.Key ResponsibilitiesWork assigned lists of...


  • Atlanta, Georgia, United States Rose International Full time

    Job Title: SAP Integration SpecialistAt Rose International, we are seeking a highly skilled SAP Integration Specialist to join our team. As a key member of our integration team, you will be responsible for designing and developing integrations between SAP and non-SAP systems using SAP Integration Suite/Cloud Integration and SAP Process Orchestration.Key...


  • Atlanta, Georgia, United States Sun Technologies Full time

    Job SummarySun Technologies is seeking a highly skilled and detail-oriented Financial Analyst / Billing and Collections Specialist to join our team. As a key member of our Fire Control group, you will be responsible for providing exceptional billing support and ensuring accurate and timely internal and external customer billing.Key ResponsibilitiesProvide...


  • Atlanta, Georgia, United States Wellstar Health System, Inc. Full time

    Job SummaryThe Manager of Revenue Integrity will be responsible for overseeing the successful initiation, planning, design, execution, monitoring, controlling, and closure of projects related to revenue integrity. This includes managing charge capture, charge compliance, audits, workflows, process improvement, change management, and staff responsibilities to...


  • Atlanta, Georgia, United States Rose International Full time

    Job SummaryRose International is seeking a highly skilled Senior Revenue Cycle Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for identifying trends, conducting follow-up, and performing root cause analysis on unpaid and underpaid Medicaid and managed plan insurance claims.Key ResponsibilitiesClaim Resolution:...


  • Atlanta, Georgia, United States DKMRBH Inc. Full time

    Job Summary: DKMRBH Inc. is seeking a highly skilled Workday Integration Specialist to join our team. As a Workday Integration Specialist, you will be responsible for designing, building, and implementing robust solutions using Workday software. Key Responsibilities: Design and Development: Design, build, and implement Workday solutions focusing on Human...

  • Neurology Specialist

    3 weeks ago


    Atlanta, Georgia, United States Integrity Healthcare Full time

    Join Our Team as a Neurology PhysicianWe are seeking a highly skilled Neurology Physician to join our team at Integrity Healthcare.About the Role:Work with an experienced team of 5 other providers in a designated Stroke Center with tenured staff.Enjoy a busy schedule from day one in an established practice.Take advantage of a competitive salary, funded...