Revenue Integrity Specialist

2 weeks ago

Melville, New York, United States Catholic Health Service Full time
About the Role

Catholic Health Service is seeking a highly skilled Revenue Integrity Specialist to join our team. As a key member of our revenue management department, you will play a critical role in ensuring the accuracy and integrity of our revenue cycle operations.

Key Responsibilities
  • Revenue Liaison: Collaborate with revenue cycle management departments, hospital and ambulatory departments, and physician/provider areas to ensure accurate charge capture operations.
  • Charge Capture and Reconciliation: Perform periodic reviews and assessments of charge capture for PRC departments, identify trends, and participate in the resolution of revenue/charge-related issues.
  • Revenue Optimization: Identify opportunities for capturing additional revenue in accordance with payer guidelines, develop specifications to modify existing charge capture applications, and coordinate research and implementation of charge capture processes for new services and/or new/updated technology.
  • Coding and Clinical Collaboration: Work with Coding and clinical departments to identify/resolve errors based on ICD/CPT Coding Guidelines and National Correct Coding Initiative edits.
  • Training and Education: Assist in developing revenue integrity training documentation and policies for training and education within the Revenue Integrity team and departments providing physician services.
Requirements and Qualifications
  • Education: Bachelor's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a related field, or an equivalent combination of years of education and experience.
  • Skills: Proficient presenting to and interacting with all levels of ambulatory and hospital management, strong interpersonal skills, extreme attention to detail, highly developed organizational skills, and ability to prioritize assignments.
  • Experience: Three (3) or more years of experience in charge documentation, charge audit or charge capture activities, proficient knowledge of ICD/CPT coding required; CPC or CCS-P required.
About Catholic Health Service

Catholic Health Service is one of Long Island's finest health and human services agencies, with over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice, and a network of physician practices across the island. We are committed to caring for Long Island and strive to provide compassionate care and utilize evidence-based practice to improve outcomes for every patient, every time.

  • Revenue Integrity Specialist

    4 weeks ago

    Melville, New York, United States Catholic Health Full time

    Job SummaryCatholic Health is seeking a highly skilled Revenue Integrity Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and compliant charge capture and billing processes.Key ResponsibilitiesProvide guidance and communication on correct charge capture and billing processes to clinical...

  • Revenue Integrity Specialist

    2 weeks ago

    Melville, New York, United States Catholic Health Full time

    {"Responsibilities": "Key Responsibilities:Provide guidance and communication on correct charge capture and billing processes to clinical departments and facilities.Perform periodic reviews and assessments of charge capture for PRC departments.Identify trends and participate in the resolution of revenue/charge-related issues.Identify opportunities for...

  • Revenue Cycle Integrity Analyst

    4 weeks ago

    Melville, New York, United States Catholic Health Service Full time

    Position Overview:Catholic Health Service stands as a premier provider of health and human services on Long Island, employing over 16,000 dedicated professionals across a diverse range of facilities, including six acute care hospitals, three nursing homes, a home health service, hospice, and a network of physician practices.Our mission is centered on the...

  • Healthcare Revenue Assurance Specialist

    3 weeks ago

    Melville, New York, United States Catholic Health Service Full time

    Position Overview:Catholic Health Service stands as a premier provider of health and human services on Long Island, employing over 16,000 dedicated professionals across various facilities, including six acute care hospitals, three nursing homes, a home health service, hospice, and a network of physician practices.Our mission is to deliver exceptional care...

  • Revenue Cycle Analysis Specialist

    3 weeks ago

    Melville, New York, United States The Bachrach Group Full time

    Position Overview:A leading organization in the healthcare sector is seeking a Revenue Cycle Performance Analyst to enhance their operational efficiency.The successful candidate will possess over 7 years of experience in the healthcare industry, specifically in analyzing revenue cycle data to identify trends, challenges, and areas for enhancement.Key...

  • Revenue Assurance Analyst

    3 weeks ago

    Melville, New York, United States Catholic Health Full time

    KEY RESPONSIBILITIES:Offers expert guidance and communication regarding accurate charge capture and billing methodologies to clinical departments and facilities.Conducts regular evaluations and assessments of charge capture processes for designated departments.Recognizes patterns and engages in the resolution of revenue and charge-related...

  • Medical Billing Specialist

    6 days ago

    Melville, New York, United States Catholic Health Service Full time

    Catholic Health Service is seeking skilled professionals to join our team in various roles within the Medical Billing department. We are looking for individuals with experience in Hospital Billing, Patient Account Representative, Financial Clearance Center Representative, Follow Up Representative, Revenue Cycle Escalation Unit Analyst, Physician Billing,...

  • Healthcare Billing Specialist

    3 weeks ago

    Melville, New York, United States Catholic Health Full time

    Medical Billing, Revenue Cycle & Managed Care Interview EventEvent Overview: This is an exclusive opportunity for qualified candidates to explore various roles within the medical billing and revenue cycle sectors.Available Positions:Hospital Billing Roles:Patient Account RepresentativeFinancial Clearance Center RepresentativeFinancial Clearance Center...

  • Healthcare Billing Specialist

    3 weeks ago

    Melville, New York, United States Catholic Health Full time

    Medical Billing, Revenue Cycle & Managed Care Interview EventEvent Overview: This is an exclusive event aimed at connecting qualified candidates with opportunities in the medical billing and revenue cycle sectors.Available Positions:Hospital Billing Roles:Patient Account RepresentativeFinancial Clearance Center RepresentativeFinancial Clearance Center...

  • Healthcare Billing Specialist

    3 weeks ago

    Melville, New York, United States Catholic Health Full time

    Medical Billing, Revenue Cycle & Managed Care Interview EventEvent Overview: This is an exclusive opportunity for qualified candidates to explore various roles within the healthcare billing and revenue cycle sectors.Available Positions:Hospital Billing Roles:Patient Account RepresentativeFinancial Clearance Center RepresentativeFinancial Clearance Center...

  • Healthcare Billing Specialist

    4 weeks ago

    Melville, New York, United States Catholic Health Full time

    Medical Billing, Revenue Cycle & Managed Care Recruitment EventEvent Overview: This is an exclusive opportunity for qualified candidates.Position Opportunities:Hospital Billing Roles:Patient Account RepresentativeFinancial Clearance Center RepresentativeFinancial Clearance Center SupervisorFollow Up RepresentativeRevenue Cycle Escalation Unit...

  • Medical Billing Specialist

    2 weeks ago

    Melville, New York, United States Catholic Health Full time

    Event OverviewCatholic Health is hosting a Medical Billing and Revenue Cycle Interview Event, an exclusive opportunity for professionals to connect with our team.Positions AvailableWe are seeking skilled individuals for the following roles:Hospital BillingPatient Account RepresentativeFinancial Clearance Center RepresentativeFollow Up RepresentativeRevenue...

  • Healthcare Billing Specialist

    4 weeks ago

    Melville, New York, United States Catholic Health Full time

    Medical Billing, Revenue Cycle & Managed Care Recruitment EventEvent Overview: This is an exclusive event for qualified candidates.We are seeking professionals for the following roles:Hospital Billing Positions:Patient Account RepresentativeFinancial Clearance Center RepresentativeFinancial Clearance Center SupervisorFollow Up RepresentativeRevenue Cycle...

  • Healthcare Revenue Assurance Coordinator

    4 weeks ago

    Melville, New York, United States Catholic Health Service Full time

    Position Overview:Catholic Health Service stands as a premier provider of health and human services in the region. With a workforce exceeding 16,000, our organization encompasses six acute care hospitals, three nursing facilities, a home health service, hospice care, and a comprehensive network of physician practices.Our mission is centered on delivering...

  • Healthcare Billing Specialist

    4 weeks ago

    Melville, New York, United States Catholic Health Full time

    Medical Billing, Revenue Cycle & Managed Care Interview EventEvent Overview: This is an exclusive opportunity for qualified candidates to engage in a focused recruitment event.Position Opportunities:We are actively seeking candidates for various roles within our organization:Hospital Billing Positions:Patient Account RepresentativeFinancial Clearance Center...

  • Revenue Cycle Operations Leader

    4 weeks ago

    Melville, New York, United States The Goodkind Group Full time

    Job OverviewWe are seeking a committed Revenue Cycle Operations Leader to enhance our financial processes. The primary responsibilities will include establishing and overseeing strategic operational objectives, crafting and updating procedural manuals, and delivering training and assistance to the Revenue Cycle team. Ideal candidates will possess a...

  • Client Integration Specialist

    4 weeks ago

    Melville, New York, United States Acclaim Recruiters Full time

    Job OverviewPosition: Business Integration ManagerCompany: Acclaim RecruitersRole Summary:The Business Integration Manager plays a pivotal role in managing the integration of new clients and providing ongoing support to existing partnerships. This position entails overseeing the development, integration, and functionality of API technologies and...

  • Client Integration Specialist

    4 weeks ago

    Melville, New York, United States Acclaim Recruiters Full time

    Job OverviewPosition: Business Implementation ManagerCompany: Acclaim RecruitersKey Responsibilities:The Business Implementation Manager plays a crucial role in managing new client integrations and providing ongoing support to existing clients. This position entails overseeing the development, integration, and functionality of API technologies and client...

  • Business Integration Specialist

    1 day ago

    Melville, New York, United States Acclaim Recruiters Full time

    Job Title: Business Integration ManagerAt Acclaim Recruiters, we are seeking a highly skilled Business Integration Manager to join our team. As a key member of our organization, you will be responsible for overseeing client engagements, conducting on-site research, and developing client initiatives.Key Responsibilities:Oversee client engagements, including...

  • Flight Schedule Adjustment Specialist

    4 weeks ago

    Melville, New York, United States Apple Leisure Group Full time

    At Apple Leisure Group, we prioritize the well-being of individuals, enabling them to excel in their endeavors. We provide unique experiences for our guests while fostering a culture of understanding and care. Our mission is to be the premier choice in vacation travel, enhancing lives and connecting the world.Advance your career as a proficient Flight...