Revenue Integrity Analyst: Payment Variance & Recovery

Henry Ford Health; Troy (MI); On-site; USD 65,000 - 85,000; Full time

Job summary

A healthcare organization is seeking an RI Analyst for Payment Variance and Resolution. This role requires a Bachelor's degree in a relevant field or extensive experience in Healthcare Revenue Cycle. Responsibilities include managing underpayment recovery strategies and collaborating with multidisciplinary teams to enhance revenue protection. Excellent analytical, communication, and interpersonal skills are necessary. The ideal candidate should also be familiar with Medicare and Medicaid billing rules, and EPIC experience is preferred.

Qualifications

• Bachelor's required or 7+ years of experience in relevant fields.
• Outstanding analytical and communication skills required.
• Knowledge of Medicare and Medicaid reimbursement rules essential.

Responsibilities

• Manage underpayment recovery strategies to maximize reimbursements.
• Collaborate with multi-disciplinary teams to improve efficiencies.
• Analyze payment variances and trends from HFHS payers.

Skills

Analytical skills

Communication skills

Interpersonal skills

Decision making

Collaboration skills

Diplomacy skills

Education

Bachelor's degree in Business Administration, Healthcare, Finance, or IT

7+ years of experience in Healthcare Revenue Cycle

1-2 years in a Healthcare or Business setting

Tools

EPIC

Microsoft Office, particularly Excel

Job description

A healthcare organization is seeking an RI Analyst for Payment Variance and Resolution. This role requires a Bachelor's degree in a relevant field or extensive experience in Healthcare Revenue Cycle. Responsibilities include managing underpayment recovery strategies and collaborating with multidisciplinary teams to enhance revenue protection. Excellent analytical, communication, and interpersonal skills are necessary. The ideal candidate should also be familiar with Medicare and Medicaid billing rules, and EPIC experience is preferred.