Revenue Integrity & Charge Master Specialist

01 Silver Cross Hospital and Medical Centers; New Lenox (IL); On-site; USD 36,000 - 44,000; Full time

Benefits offered by this job

Medical, Dental and Vision plans

Life Insurance

401(k) plan with match

PTO and Sick time

Wellness program

Tuition Reimbursement

Job summary

Silver Cross Hospital is seeking a Billing Policy Analyst to monitor charging policies and practices across departments, communicate implications to clinical and non-clinical leaders, and support compliant reimbursement.

The role involves auditing insurance processes, educating staff on billing policies, and maintaining the charge master in collaboration with leadership. Prior experience in patient accounting and intermediate Excel skills are required.

Qualifications

• Associate of Science degree in a medically related field.
• Minimum of two years' experience in a patient accounting environment.
• Intermediate Excel skills.
• Bachelor’s degree in Accounting or BSN strongly preferred.
• Licensure/certification: IL RN licensure or RHIT/RHIA/CCS for coders.

Responsibilities

• Monitor and analyze charging policies and practices for all hospital departments and communicate to clinical and non-clinical management to optimize reimbursement.
• Conduct and complete insurance audits through site visits by insurance auditors.
• Act as a liaison and interpreter of clinical information as it relates to billing to patients and all departments.
• Educate staff on billing policies and keep up to date on reimbursement and denial trends.
• Update and maintain the Charge Master in collaboration with clinical departments, Patient Accounts Management, Revenue Cycle Leadership, and Accounting.
• Appeal clinical denials and assist in obtaining authorizations for current in-house patients.

Skills

Microsoft Excel

Education

Associate of Science Degree in a medically related field

Bachelor’s Degree in Accounting or BSN strongly preferred

Job description

Silver Cross Hospital is seeking a Billing Policy Analyst to monitor charging policies and practices across departments, communicate implications to clinical and non-clinical leaders, and support compliant reimbursement.

The role involves auditing insurance processes, educating staff on billing policies, and maintaining the charge master in collaboration with leadership. Prior experience in patient accounting and intermediate Excel skills are required.