Revenue Integrity & Charge Master Specialist

silvercross; New Lenox (IL); On-site; USD 36,000 - 44,000; Full time

Benefits offered by this job

Medical, Dental and Vision plans

Life Insurance

Flexible Spending Account

Other voluntary benefit plans

PTO and Sick time

401(k) plan with a match

Wellness program

Tuition Reimbursement

Job summary

Silver Cross Hospital is seeking a Patient Accounting specialist to monitor charging policies, analyze practices across departments, and communicate findings to clinical and administrative leaders. You will conduct insurance audits, educate staff on billing policies, and maintain the charge master to optimize reimbursement.

The role involves coordinating with revenue cycle leadership, managing MCO-authorized services for inpatients and outpatients, and assisting with authorizations for current

Qualifications

• An Associate of Science Degree in a medically related field is required.
• Minimum of two years of previous experience in a Patient Accounting environment is required.
• Microsoft Excel – intermediate level of skill is required.
• Bachelor’s Degree in Accounting or BS in Nursing is strongly preferred.
• Required License and/or Certification is required.
• If RN, current State of Illinois licensure.
• If coder, RHIT/RHIA or CCS certification is considered.

Responsibilities

• Directly responsible for monitoring and analyzing charging policies and practices for all hospital departments and communicating findings to clinical and non-clinical management.
• Conduct and complete insurance audits through site visits by insurance auditors.
• Act as liaison and interpreter of clinical information as it relates to billing to patients and hospital departments.
• Educate clinical and non-clinical staff on billing policies and keep up to date on reimbursement and denial trends.
• Update and maintain Charge master in collaboration with departments and Revenue Cycle Leadership.
• Manage MCO-authorized services for inpatients and outpatients; assist in obtaining authorizations for current in-house patients.

Skills

Excel

Education

Associate of Science Degree in a medically related field

Bachelor’s Degree in Accounting or BS in Nursing

Job description

Silver Cross Hospital is seeking a Patient Accounting specialist to monitor charging policies, analyze practices across departments, and communicate findings to clinical and administrative leaders. You will conduct insurance audits, educate staff on billing policies, and maintain the charge master to optimize reimbursement.

The role involves coordinating with revenue cycle leadership, managing MCO-authorized services for inpatients and outpatients, and assisting with authorizations for current