NorthBay Health ยท 3 months ago
Revenue Integrity Analyst V
NorthBay Health is seeking a Revenue Integrity Analyst V to manage and monitor revenue and charges while ensuring compliance with regulations and coding guidelines. The role involves analytical support for reimbursement contracts and collaboration with other departments to enhance accounts receivable management.
Health CareHospitalMedical
Responsibilities
Responsible for the management and monitoring of revenue, charges, and revenue cycle internal and external customers to ensure established goals are met while adhering to federal and state regulations, policies of external payers, coding rules and guidelines
Exercise independent decisions using analytical and problem-solving skills
Provides critical analytical and negotiation support with respect to third party payer reimbursement contracts
Works closely with the analysts in the other Revenue Cycle Management Departments to ensure effective workflow and process
Maintains strong working knowledge of operational policies and procedures related to accounts receivable management
Responsible for evaluating, recommending and assisting with implementation of systems solutions to enhance the automation of accounts receivable management
Performs audits designed to ensure integrity, quality and control over the billing processes
Assists with training and education on the information systems functionality and billing and coding practices
Qualification
Required
Management and monitoring of revenue, charges, and revenue cycle internal and external customers
Adherence to federal and state regulations, policies of external payers, coding rules and guidelines
Exercise independent decisions using analytical and problem-solving skills
Provides critical analytical and negotiation support with respect to third party payer reimbursement contracts
Works closely with the analysts in the other Revenue Cycle Management Departments
Maintains strong working knowledge of operational policies and procedures related to accounts receivable management
Evaluating, recommending and assisting with implementation of systems solutions to enhance the automation of accounts receivable management
Performs audits designed to ensure integrity, quality and control over the billing processes
Assists with training and education on the information systems functionality and billing and coding practices
Company
NorthBay Health
NorthBay Health is a locally based, nonprofit health care organization serving Solano County since 1960.
Funding
Current Stage
Late StageRecent News
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