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Revenue Integrity Analyst


Tutera Senior Living & Health Care


Location

Kansas City, MO | United States


Job description

Revenue Integrity Analyst

Prominent Healthcare Ownership & Management Company - Kansas City, MO

We are seeking a Revenue Integrity Analyst to join our talented team!

If you are a dedicated, highly motivated, energetic, and dependable, WE WANT YOU ! Apply today and let us show you how we are inspired by you.

We offer a comprehensive benefits package that includes:

Revenue Integrity Analyst Overview

The Revenue Integrity Analyst is responsible for ensuring accuracy and compliance for assigned region’s reimbursement entitlement.

Revenue Integrity Analyst Responsibilities and Duties

• Process claims to ensure accuracy and compliance with Medicaid/insurance company guidelines.

• Responsible for insurance claim denials and appeals, working to resolve issues and maximize reimbursement.

• Process required adjustments.

• Stay up to date with insurance company policies, guidelines, and regulations to ensure billing compliance.

• Participate in Triple Check meeting for assigned facilities.

• Prepare & participate in scheduled reviews.

Revenue Integrity Analyst Qualifications

• Prior SNF billing experience required

Prior PCC experience highly preferred

2+ years’ experience in accounts receivable/collections/customer service/or account management.

• Significant knowledge of federal and state billing regulations for Long-Term Care.

• Proficiency in Excel and strong computer and software (Microsoft Office) skills.

• Experience with Point Click Care.

• Strong attention to detail and follow-through is required.

• Excellent communication and interpersonal skills.

• Ability to work independently and as part of a team.

• Time management skills and ability to meet deadlines.

• Flexibility and adaptability to changes in regulation and company policy and procedures.

JOBID=62100

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