Revenue Integrity Analyst

UMC Health System; United States; On-site; USD 55,000 - 85,000; Full time

Benefits offered by this job

Resilience program

Retirement benefits

PTO & Extended Illness

Medical, Dental, & Vision Insurance

Job summary

UMC Health System in the United States seeks a professional for the Patient Financial Services team to manage post-payment audits, RAC compliance, third‑party denials, and chargemaster maintenance to uphold revenue integrity.

Ideal candidates hold a college degree in a business-related field, know medical and insurance terminology, and have prior experience in patient accounting. This role requires collaboration with hospital departments and a commitment to service.

Qualifications

• College degree in a 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.

Skills

Medical terminology

Insurance terminology

Patient accounting experience

Education

College degree in business related field or equivalent experience

Job description

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 System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of 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.

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

Benefits

• Resilience program Emotional Physical Spiritual Financial Career Community On-Site Professional Counselors (EAP) Discounted Pharmacy Cost Cash Retention Bonus (only one in our region)
• Retirement Benefits w/Employer Match
• PTO & Extended Illness
• Medical, Dental, & Vision Insurance
• And more at: https://apps.umchealthsystem.com/documents/wellness.pdf

UMC Vision, Mission and Standards:

Vision: To Serve Our Patients in the Best Teaching Hospital in the Country Mission Statement: Service is our passion. We serve by providing safe, high quality care to all, achieving excellent financial performance, and training tomorrow’s healthcare professionals. Standards of Excellence: Attitude, Communication, Responsiveness, Compassion, Teamwork, Ownership, Safety and Respect About UMC Magnet Designated 501 licensed beds 62 Site locations Regions only Level I Trauma Center Regions only BICU DNV accredited Primary teaching hospital for the Texas Tech University Health Sciences Center (TTUHSC) Ranked as one of the Best Places to Work in Texas by Texas Monthly UMC Physicians Culture, Vision, Mission, and Standards: Culture: Service is Our Passion Vision: The best place to work and the best place to receive healthcare. Mission Statement: To improve the quality of life for our community by providing the best patient experience for every patient. Standards: Teamwork, Respect, Accountability, Compassion, Kindness About UMCP 35 Practice Locations private practices and urgent care centers Over 125 physicians and advanced practice providers Ranked as One of the Best Places to Work in Texas by Texas Monthly Employee Engagement Score of 96 measured by Press Ganey Associates