Revenue Integrity Analyst

UMC Health System; Richmond (KY); Sur place; USD 55 000 - 75 000; Plein temps

Résumé du poste

UMC Health System in Kentucky is seeking a detail‑oriented professional to manage post‑payment audits and ensure revenue integrity across payer processes, including RAC and third‑party denials.

You will oversee chargemaster maintenance, address hold bills, and collaborate with hospital departments to resolve issues, document findings and drive process improvements while maintaining compliance and high service standards.

Qualifications

• College degree or equivalent experience required.
• Medical and insurance terminology knowledge preferred.
• Experience in patient accounting preferred.

Responsabilités

• Manage post-payment audits including RAC and third-party denials.
• Oversee chargemaster creation and maintenance.
• Handle hold bills as they relate to revenue integrity.

Connaissances

Verbal and written communication

Basic accounting

Customer relations

Healthcare payer rules

Formation

College degree in business related field or equivalent experience

Medical and insurance terminology

Previous experience in patient accounting preferred

Description du poste

We've learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas.

General Job / Performance Information

Education and Experience

• College degree in business related field or equivalent experience.
• Medical and insurance terminology.
• Previous experience in patient accounting preferred.

Environmental / Working Conditions

• Work in a well-lighted, heated and ventilated building. Hours may vary to accommodate the needs of the department.

Interaction with Other Departments and Other Relationships

• Constant interaction with revenue generating hospital departments is required.
• This position must interact with other departments in a professional and polite manner. This position must demonstrate that the Patient Financial Services department is committed to service.
• Note: This job description/performance appraisal form does not describe all job responsibilities that may be assigned to this job. Job responsibilities may change from time to time.
• Disclaimer: Nothing in this job description restricts management's rights to assign or reassign duties and responsibilities to this job at any time. This job description reflects management's assignments of essential functions. It does not prescribe or restrict the tasks that may be assigned. Critical features of this job are described under the heading below. They may be subject to change at any time due to reasonable accommodation or other reason.

Job Description

• This position is responsible for managing post-payment audits including RAC, third-party denials, chargemaster creation and maintenance, and hold bills assigned as they relate to revenue integrity.

Physical Capabilities

• Work is of medium demand; walking, sitting and standing most of the time while on-duty. Occasional lifting is required. Adequate hand/eye coordination and fine motor skills required for typing. Talking and hearing is essential in dealing with co-workers and customers.

Skills and Abilities

• Ability to communicate both verbally and in writing
• Basic accounting and clerical skills
• Customer relations skills
• Knowledge of third party healthcare payers rules and regulations

UMC Health Systemprovides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis ofrace, 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.

*Request for accommodations in the hire process should be directed to UMC Human Resources.*