Revenue Integrity Analyst
TEKsystems | |
$28.00 - $30.00 / hr | |
life insurance, sick time, 401(k), retirement plan | |
United States, Texas, Plano | |
Jan 28, 2025 | |
*Description*
This individual will be analyzing excel reports in extensive detail - they will need RCM experience, but they are running reports for each department to identify specific needs, shortfalls, or workflow. This individual is analyzing the data to support the teams in missing collection/ billing gaps for each facility and payer! There are more than 80+ tabs on the excel sheets organized by both facility and payer. * Review each assigned account to ensure that the account balance is accurate, verifying that all correct steps have been completed by the previous departments to ensure that no billing/claim errors have occurred and the balance on the account is correct. Ensure that remaining variances are categorized as a potential over or underpayment. * Verify the contracted rates and compare them with the insurance payment when the payor (insurance) is contracted with the hospital. Appeal variances to the insurance company for additional payment according to the contracted rates. For non-contracted payors, ensure the payor knows that the total claim charge is remitted. * Complete manual adjustments, contract overrides and allowances as needed for accounts in which the system cannot properly adjudicate, including debit and credit balances. Responsible recording rates on account on a timely basis, resolving payment variances and completing month-end close in accordance with CBO policies for facilities assigned. Performs other related duties as assigned or requested. Customer Service * Maintains the highest level of customer service via courtesy, compassion and positive communication. * Promotes the Mission and Vision of Post Acute Medical within the work environment and the community. * Respects dignity and confidentiality by adherence to all applicable policies and procedures. * Provide support to all facilities when requests are received or assistance is needed. Be timely and responsive to all requests. Treat our facilities as customers and provide superior customer service to each. *Pay and Benefits* The pay range for this position is $28.00 - $30.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) *Workplace Type* This is a fully onsite position in Plano,TX. *Application Deadline* This position is anticipated to close on Feb 5, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. |