Revenue Integrity Analyst : Presence Medical Group, Revenue Cycle, Bolingbrook - (bolingbrook,
Posted: Thursday, October 5, 2017 2:49 PM
1000 Remington Boulevard, Bolingbrook, IL United States (US)
Daily Hours: 8
Standard Hours: 40
The Revenue Integrity Analyst assists in analyzing requests for insurance defense audits by reviewing contract terms and financial transactions prior to denying or permitting an audit to be performed. Serves as liaison between insurance companies, hospitals, and the Presence Health Revenue Integrity staff regarding status of pending audits. Coordinates obtaining the medical record, posting of account corrections, and monthly statistical reporting through the audit database. Coordinates rebilling and refund requests based on audit findings. Serve as primary contact for status on all insurance and patient defense audits.
ESSENTIAL DUTIES AND RESPONSIBILITIES
:Analyzes and approves audit requests received from insurance companies.
:Gathers and analyzes data. Documents findings, provides impact and cost, benefit analyzes and recommends specific system changes.
:Provides completed audit detail bill to logging for reconciliation.
:Maintains tracking of insurance defense audits and coordinate obtaining the medical record.
:Initiates refund request and provides any required documentation required for refund.
Supports statistical data in the audit database.
Analyzes information flows to ensure greater integration of functions within department.
Validates and maintains accuracy and integrity of data.
Education and experience:
Bachelor's degree plus two years of experience in a healthcare environment with experience in financial analysis and physician office billing; or six years of experience in a healthcare environment with experience in financial analysis and physician office billing.
Business Unit: Presence Medical Group N/T
EOE of Minorities/Females/Vets/Disability
• Location: Chicago
• Post ID: 79240232 chicago