Revenue Integrity Specialist (Post-Pay Audit)

UMC Health System; Texas; 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

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.