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St. Bernards Healthcare · 1 month ago

REVENUE INTEGRITY SPECIALIST

Jonesboro, AR

Full-time

Onsite

Mid, Senior Level

5+ years exp

St. Bernards Healthcare is a healthcare provider focused on revenue integrity. The Revenue Integrity Specialist is responsible for managing denial information and collaborating with clinical areas to reduce denials while ensuring compliance with regulatory requirements.

Health CareHospital

Responsibilities

Responsible for aggregating and trending denials information according to discrete OP denial codes and work within denial software

Also works with IP denials

Analyzes information, assigns follow-up responsibility

Works with clinical areas to decrease denials by coordinating monthly meetings with departments to discuss trends, opportunities, etc

Assists Revenue Integrity Coordinator with denials appeals

Close out each tracked denial (overturned or recouped)

Overall works to increase revenue capture

Assists Revenue Integrity Coordinator with Medical Center denials process as needed

Facility resource for denials/appeal process and regulatory compliance, as it relates to these

Ability to manage competing priorities, multi-task with results oriented outcomes and work in a fast paced environment

This position is required to utilize independent judgment and critical thinking skills

Qualification

Healthcare experienceICD 10 & CPT codingReimbursement systems knowledgeExcel proficiencyBilling knowledge (UB-04)Process managementMeticulous follow-upLeadership skillsInterpersonal skillsWritten communicationVerbal communicationTeamwork experienceCritical thinking