Job Description
The Revenue Integrity Analyst maximizes charge efficiency through (a) monitoring revenue cycle processes and staff functions; (b) supporting GoHealth revenue capture integrity by evaluating the accuracy of charge capture and billing functions and staying apprised of payor and/or regulatory updates; (c) assisting in the design and implementation of charge capture/billing workflow improvements.
JOB REQUIREMENTS:
Education
- High School Diploma or GED required
- Bachelor’s Degree preferred
Work Experience
- Minimum three years’ of CBO experience working in various CBO departments
- Five years of progressive experience communicating through various means across all job categories
Required Licenses/Certifications
- Epic Physician Billing Certification, preferred
- CPC or CCSP
Additional Knowledge, Skills and Abilities Required
- Strong knowledge of Excel, Word, and PowerPoint
- Ability to interact with and work with peers and management
- Ability to make judgements in demanding situations
- Ability to react to frequent changes in duties and volume of work
- Effective communication skills
- Ability to logically organize details
- Epic and/or ECW experience
ESSENTIAL FUNCTIONS:
- Leads the development and refinement of charge capture workflows.
- Leads the development, fine tuning, and auditing of charge capture reconciliation.
- Develops and maintains dashboards and reports on charge capture and charge capture reconciliation.
- Monitors, reports, and takes action on trends in claim denials and zero payments.
- Recommends front end staff education and communication for denial prevention.
- Develops and maintains dashboard and reports on denial and zero payment management and prevention.
- Prepares summaries that pinpoint root causes of charge and billing errors.
- Participates in Charge Master (CDM) and Physician fee schedule maintenance efforts
- Additional miscellaneous duties and responsibilities, as may be assigned.
Jobicy job ID: 108099
Job Tags
Full time, Work experience placement,