Revenue Integrity Analyst

UMC Health System; Town of Texas (WI); Hybrid; USD 55,000 - 75,000; Full time

Job summary

UMC Health System is seeking a Revenue Integrity Analyst to manage post-payment audits, RAC reviews, third-party denials, chargemaster maintenance, and hold bills tied to revenue integrity. You will work with hospital departments to ensure compliant billing and optimized revenue.

The role requires a college degree in a business-related field or equivalent experience, plus familiarity with medical and insurance terminology.

Qualifications

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

Responsibilities

• Manage post-payment audits including RAC, third-party denials, chargemaster creation and maintenance, and hold bills assigned as they relate to revenue integrity.
• Interact with revenue-generating hospital departments to address revenue integrity issues and ensure accurate billing and collection processes.

Skills

Communication skills

Basic accounting

Customer relations

Medical terminology

Insurance terminology

Education

College degree in business related field

Job description

## Revenue Integrity AnalystApply: Business and Technology Center: Full time: Posted Today: R22160We’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