Healthcare Revenue Integrity Analyst - Fully Remote
Mesquite, TX
Category: Healthcare
Reference ID: 10076577
Shortcut: http://addisongroup.gosnaphop.com/ek5GCd
Job Title: Revenue Integrity Analyst
Location (City, State): Remote
Industry: Healthcare Revenue Cycle
Pay: $27.00 – $28.00 / hour
Benefits: This position is eligible for Medical, Dental, Vision, and 401k benefits.
About Our Client:
Addison Group is hiring on behalf of our client, a respected healthcare organization seeking a Revenue Integrity Analyst to support revenue cycle operations. This fully remote opportunity is ideal for candidates with experience in healthcare reimbursement, revenue integrity, contract analysis, and medical billing who enjoy solving complex reimbursement issues and improving financial accuracy.
Job Description:
The Revenue Integrity Analyst is responsible for ensuring revenue is accurately recorded and reimbursed by reviewing patient accounts, validating payer contracts, resolving payment discrepancies, and supporting revenue cycle operations. This role works closely with finance, managed care, and operational teams to improve revenue accuracy, maintain compliance, and identify opportunities for process improvement.
Key Responsibilities:
- Review patient accounts to ensure revenue, payer selection, and reimbursement calculations are accurate.
- Investigate billing and payment discrepancies by working with internal departments to resolve outstanding issues.
- Process manual account adjustments, reimbursement corrections, and contract overrides when necessary.
- Update reimbursement systems with new payer contracts, rate changes, and contract revisions.
- Perform daily reconciliations and resolve revenue exceptions identified through reporting.
- Collaborate with managed care teams to interpret contract language and reimbursement requirements.
- Analyze payer trends and historical reimbursement data to identify inconsistencies and recommend process improvements.
- Develop reports and maintain documentation supporting revenue integrity initiatives.
- Research and resolve credit balances and payment variances to maintain accurate financial records.
- Respond to revenue-related inquiries from internal teams in a timely and professional manner.
- Escalate system, contract, or workflow issues impacting reimbursement accuracy.
- Support month-end close activities and ensure revenue-related issues are resolved before financial deadlines.
- Perform additional revenue cycle projects and responsibilities as assigned.
Qualifications:
- Previous experience in healthcare revenue cycle, revenue integrity, medical billing, or reimbursement analysis.
- Strong understanding of payer contracts, insurance reimbursement, and revenue reconciliation processes.
- Experience researching payment variances and resolving billing discrepancies.
- Proficiency with Microsoft Excel and healthcare billing or financial systems.
- Strong analytical, organizational, and problem-solving abilities.
- Ability to work independently in a fully remote environment while managing multiple priorities.
Additional Details:
- Contract-to-Hire opportunity.
- Fully remote position.
- Monday-Friday schedule with a one-time selection of a permanent start time between 7:00 AM and 9:00 AM.
- Overtime opportunities available.
- Approximately two-week onboarding process for compliance and equipment setup.
- Company-issued equipment provided; candidates must have a reliable personal cell phone.
- One-step virtual interview process.
Perks:
- Fully remote work environment.
- Flexible set work schedule.
- Overtime available.
- Company-provided equipment.
- Medical, dental, and vision benefits upon permanent hire.
- 30-minute lunch and one paid 15-minute break each workday.
- Opportunity to join a collaborative healthcare revenue cycle team with long-term growth 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.
#HC1
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