What are the responsibilities and job description for the Revenue Integrity Analyst | Corporate Center | Days position at Onvida Health?
Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks
Shift: Days
Pay Rate Type: Hourly
Location: Corporate Center
Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates.
Min = $27.37
Mid = $34.21
Max = $41.05
Summary
The Revenue Integrity Analyst will work under the direction of the Manager of Revenue Integrity to meet financial objectives by identifying and evaluating trends, analyzing variances, monitoring and identifying opportunities for revenue and reimbursement maximization. This position requires an expert level of Managed Care, payor contracts, regulations and policies, a high-level of analytical skills and problem solving skills with the ability to evaluate effectiveness of workflows and systems, identify weaknesses and develop innovative solutions and process improvements. Must have strong attention to detail and able to have initiative, work and manage projects independently and communicate effectively with all areas within the organization, as well as organizational and priority setting abilities.
Responsibilities
Perform various functions including providing support and analysis by querying appropriate data, preparing reports, making presentations of analysis, findings, and recommendations to management. Identify payment variances based on expected reimbursement from contracted managed care payors, government payors and non-contracted miscellaneous payors. Engage and provide necessary data to consultant and assist with contract negotiations.
Research and understand changes in the healthcare regulatory environment and the potential impact on reporting. Staying abreast of payer and regulatory updates.
Support Revenue Integrity Manager in financial modeling, identifying underpayment trends and coordination of data and communication to Managed Care Team. Conduct updates and maintenance of contracts including but not limited to rate fee schedules by client specific instructions. Work with IT to maintain Epic Managed Care model accurate and up to date.
Monitor, analyze, identify trends and report zero payments and work closely with Patient Financial Services on Denials.
Provide support to the Chargemaster Analysts and Charge Capture Analyst with projects, identifying missed opportunities, denials, and accounts within Work queues.
Responsible to adhering CMS regulations for Price Transparency, Shoppable Services, Patient Estimates to include maintaining current in Epic and working closely with Patient Financial Services and Patient Access.
Lead efforts to assess, modify, and/or develop and implement more timely and consistent processes/systems to increase efficiency, accuracy and meaningfulness of information related to Managed Care and Price Transparency.
Perform audits and reviews, identify issues, risks, opportunities and optimizations and propose resolutions to include process improvement and/or development. Reports back to leadership and provide education and support.
Education
Essential:
REQUIRED: 3 years related experience
Join us at Yuma Regional Medical Center dba Onvida Health
A career at Onvida Health is more than just a job. It’s a place to have a long and rewarding career, making a difference in the lives of those in our shared community. When you join our team, you become an integral part of a thriving community committed to improving the health and well-being of everyone in southwestern Arizona.
At Onvida Health, we believe in progress with purpose. Our commitment to innovation is matched by our dedication to kindness and integrity. We take our values seriously because we know they lead to better outcomes for our patients and a better experience for all of us. We’re looking for people who approach each day with a sense of possibility, a drive to make things better, and a commitment to kindness. If that sounds like you, you’re our kind of people.
If you’re looking for a career where innovation meets compassion, where you can grow and contribute to building a healthier tomorrow, Onvida Health is the place for you.
Life in Yuma, Arizona
Yuma, recognized by Guinness World Records as the Sunniest City on Earth, offers more than just sunshine. It’s a place where the great outdoors meets a welcoming, tight-knit community. Hike scenic trails, explore the Colorado River, or immerse yourself in local cultural festivals – all while embracing the beauty of this desert oasis. With easy access to larger cities and popular destinations, Yuma makes it easy to balance a fulfilling career with time for personal adventures and relaxation.
https://www.visityuma.com/
https://www.yumachamber.org/
Physical Requirements and working conditions for this position will be provided to you up on interview.
Shift: Days
Pay Rate Type: Hourly
Location: Corporate Center
Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates.
Min = $27.37
Mid = $34.21
Max = $41.05
Summary
The Revenue Integrity Analyst will work under the direction of the Manager of Revenue Integrity to meet financial objectives by identifying and evaluating trends, analyzing variances, monitoring and identifying opportunities for revenue and reimbursement maximization. This position requires an expert level of Managed Care, payor contracts, regulations and policies, a high-level of analytical skills and problem solving skills with the ability to evaluate effectiveness of workflows and systems, identify weaknesses and develop innovative solutions and process improvements. Must have strong attention to detail and able to have initiative, work and manage projects independently and communicate effectively with all areas within the organization, as well as organizational and priority setting abilities.
Responsibilities
Perform various functions including providing support and analysis by querying appropriate data, preparing reports, making presentations of analysis, findings, and recommendations to management. Identify payment variances based on expected reimbursement from contracted managed care payors, government payors and non-contracted miscellaneous payors. Engage and provide necessary data to consultant and assist with contract negotiations.
Research and understand changes in the healthcare regulatory environment and the potential impact on reporting. Staying abreast of payer and regulatory updates.
Support Revenue Integrity Manager in financial modeling, identifying underpayment trends and coordination of data and communication to Managed Care Team. Conduct updates and maintenance of contracts including but not limited to rate fee schedules by client specific instructions. Work with IT to maintain Epic Managed Care model accurate and up to date.
Monitor, analyze, identify trends and report zero payments and work closely with Patient Financial Services on Denials.
Provide support to the Chargemaster Analysts and Charge Capture Analyst with projects, identifying missed opportunities, denials, and accounts within Work queues.
Responsible to adhering CMS regulations for Price Transparency, Shoppable Services, Patient Estimates to include maintaining current in Epic and working closely with Patient Financial Services and Patient Access.
Lead efforts to assess, modify, and/or develop and implement more timely and consistent processes/systems to increase efficiency, accuracy and meaningfulness of information related to Managed Care and Price Transparency.
Perform audits and reviews, identify issues, risks, opportunities and optimizations and propose resolutions to include process improvement and/or development. Reports back to leadership and provide education and support.
Education
Essential:
- ASSOCIATE'S DEGREE
REQUIRED: 3 years related experience
Join us at Yuma Regional Medical Center dba Onvida Health
A career at Onvida Health is more than just a job. It’s a place to have a long and rewarding career, making a difference in the lives of those in our shared community. When you join our team, you become an integral part of a thriving community committed to improving the health and well-being of everyone in southwestern Arizona.
At Onvida Health, we believe in progress with purpose. Our commitment to innovation is matched by our dedication to kindness and integrity. We take our values seriously because we know they lead to better outcomes for our patients and a better experience for all of us. We’re looking for people who approach each day with a sense of possibility, a drive to make things better, and a commitment to kindness. If that sounds like you, you’re our kind of people.
If you’re looking for a career where innovation meets compassion, where you can grow and contribute to building a healthier tomorrow, Onvida Health is the place for you.
Life in Yuma, Arizona
Yuma, recognized by Guinness World Records as the Sunniest City on Earth, offers more than just sunshine. It’s a place where the great outdoors meets a welcoming, tight-knit community. Hike scenic trails, explore the Colorado River, or immerse yourself in local cultural festivals – all while embracing the beauty of this desert oasis. With easy access to larger cities and popular destinations, Yuma makes it easy to balance a fulfilling career with time for personal adventures and relaxation.
https://www.visityuma.com/
https://www.yumachamber.org/
Physical Requirements and working conditions for this position will be provided to you up on interview.
Salary : $27 - $34