Revenue Integrity Analyst
San Antonio Metro Area, Texas
Category: Healthcare
Reference ID: 10075723
Shortcut: http://addisongroup.gosnaphop.com/Gp3tgl
Job Title: Revenue Integrity Analyst
Location (city, state): Remote - must be based in San Antonio
Industry: Healthcare Revenue Cycle / Audit & Compliance
Pay: $25–$27 per hour (contract‑to‑hire)
Benefits: This position is eligible for medical, dental, vision and 401(k).
About Our Client:
Addison Group is partnering with our client, a growing healthcare organization, to hire a Revenue Integrity Analyst. This role supports accurate reimbursement by reviewing accounts, validating contract rates, and ensuring revenue is recorded correctly throughout the billing cycle.
Job Description:
The Revenue Integrity Analyst will review patient accounts for accuracy, verify contract terms, identify payment variances, and support appeals for underpayments. This position requires strong analytical skills, comfort working in Excel, and the ability to audit accounts both before and after billing.
Key Responsibilities:
- Review assigned accounts to confirm accurate balances and ensure all prior billing steps were completed correctly.
- Compare insurance payments to contracted rates and pursue additional reimbursement when variances occur.
- Complete manual adjustments, overrides, and allowances when system adjudication is incorrect.
- Perform underpayment appeals and follow up until accounts are resolved.
- Collaborate with Managed Care when contract language requires clarification.
- Submit system update requests when rate changes occur.
- Recalculate pricing and reprocess accounts as needed.
- Conduct daily reconciliation, exception report review, and credit balance audits.
- Support month‑end close activities and ensure deadlines are met.
- Review and approve revenue reports and assist with payer master maintenance.
- Audit departmental processes to identify improvements for revenue accuracy.
- Complete revenue reviews for admissions, discharges, and post‑payment variances within required timeframes.
- Develop analytical reports to support revenue review processes.
- Respond to audit requests and escalate issues impacting revenue accuracy.
- Maintain confidentiality and uphold compliance standards.
Qualifications:
- Experience working with contracts, fee schedules, per diem rates, or reimbursement structures.
- Familiarity with UB‑04s and collections or follow‑up processes.
- Strong math and analytical skills; comfortable performing calculations.
- Ability to read and interpret EOBs.
- Proficiency in Excel; experience with WellSky is a plus.
- Fast learner who adapts well to change.
- Comfortable working in a fast‑paced environment.
Additional Details:
- Hours: Flexible start time between 7–9 AM (set schedule required)
- Assignment Type: Contract‑to‑Hire
- Work Model: Fully remote
- Systems Used: WellSky, Excel
- Start Date: ASAP
- Interview Process: Virtual; immediate availability for interviews
Perks:
- Remote work environment
- Opportunity to convert to permanent employment
- Exposure to advanced revenue cycle processes
- Growing department with long‑term career potential
| Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request. |
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