Revenue Integrity Analyst

Company: Physicians Endoscopy
Location: Silver Spring
Posted on: June 5, 2021

Job Description:

Do you thrive in a fast-paced and innovative environment?

At PE GI Solutions, we foster an environment of contribution, creativity and risk-taking. We strive to unleash the potential in everyone and cultivate a highly engaged, motivated, and committed organization!

This is a chance for YOU to become a part of a growing company, focused on patient care, preventing colon cancer and raising awareness! Our unique culture of innovation creates an environment where you will continually grow and be challenged to develop your career. We are passionate believers in patient care, which is why our mission is Improving the landscape of healthcare one surgery center at a time.

What makes us awesome:

Perks and Benefits

* Paid Time Off including: Vacation, Sick Time, Holidays, Birthday, Bereavement, Jury, and Voting * High quality, Cost effective Medical, Dental, Vison, and Prescription coverages. Including multiple plan options and flexible spending accounts. * Life Insurance, AD&D, LTD and Supplemental Insurances * A 401K Retirement Plan with a generous company match * Tuition Reimbursement * Annual Discretionary Bonus Program * Employee Referral Program * Pet Insurance

We are searching for a dynamic Revenue Integrity Analyst to join our team in Silver Spring, MD!

What you do:

You would be responsible for improving Revenue Cycle Management (RCM) outcomes through creation, review, and management of data to improve revenue management, revenue protection, and ensure the overall integrity process.

What you will be working on:

* Identify, analyze, and interpret payer/payment trends or patterns with complex data sets * Analyze billing error and denial data to identify root causes. * Executing on work plans to correct identified deficiencies. * Identifying back end and front-end operation improvements. * Regular interpretation of information based on AR analysis, identification of over and underpayment trends and development of recommendations based on analysis. * Create and maintain RCM dashboards, including productivity * Implementing charge capture corrective measures and monitoring tools to ensure sustainability of changes; performing, reviewing, and monitoring statistics and key performance indicators to identify improvement opportunities * Lead and participate in moderately complex projects related to revenue issues. * Communicate issues regularly to VP, RCM, and RCM leadership * Act as the main contact for operational areas of PE, including Finance, Payer Contracting, and Operations * Work in partnership with IT to define requirements and develop functional designs for more complex analytics capabilities requiring custom application development * Work with insurance companies, as necessary, to resolve issues * Monitor Center cash flow regularly to ensure appropriate cash receipts * Review overall processes and make recommendations to increase efficiency

What will make you awesome:

* Excellent written and verbal communication skills * Must enjoy working in a team environment * Ability to complete tasks in a timely manner according to established deadlines * Highly organized and strong attention to detail * Ability to multi-task and meet deadlines

What you know:

To be successful in this role you will have the following experience or knowledge:

* Bachelors Degree in Business/Finance/Accounting * Three to five years experience in healthcare revenue cycle * Excellent computer skills including Microsoft Office Suite of products including full functionality of Microsoft Excel and financial software packages as needed * Experience with data visualization tools in Microsoft environment; Power BI preferred

Diversity and Inclusion

We value diversity! PE GI Solutions provides equal employment opportunities to all employees and applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

We carry this policy through all stages of the employment process including recruiting, hiring, placement, promotion, termination, layoff, recall, leaves of absence, compensation, and training.

Keywords: Physicians Endoscopy, Silver Spring , Revenue Integrity Analyst, Other , Silver Spring, Maryland