Revenue Integrity Analyst

Summary

UMC Health System is a healthcare organization seeking a Revenue Integrity Analyst to support revenue integrity and patient financial services operations. The role manages post-payment audits, third-party denials, chargemaster maintenance, and hold bills while coordinating with revenue-generating hospital departments.

Responsibilities

• This position is responsible for managing post-payment audits including RAC, third-party denials, chargemaster creation and maintenance, and hold bills assigned as they relate to revenue integrity
• Constant interaction with revenue generating hospital departments is required
• This position must interact with other departments in a professional and polite manner
• This position must demonstrate that the Patient Financial Services department is committed to service

Skills

• College degree in business related field or equivalent experience
• Medical and insurance terminology
• Ability to communicate both verbally and in writing
• Basic accounting and clerical skills
• Customer relations skills
• Knowledge of third party healthcare payers rules and regulations
• Previous experience in patient accounting preferred

Qualifications

Must Haves

• College degree in business related field or equivalent experience
• Medical and insurance terminology
• Ability to communicate both verbally and in writing
• Basic accounting and clerical skills
• Customer relations skills
• Knowledge of third party healthcare payers rules and regulations

Nice to Haves

• Previous experience in patient accounting preferred