Revenue Integrity Analyst

 Posted 4 days ago
     
2-5 years experience
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AI Summary

The Revenue Integrity Analyst monitors and improves revenue cycle processes to ensure accurate reimbursement and compliant billing. They investigate reimbursement variances, identify root causes of denials, and develop corrective action plans to optimize financial outcomes.
Benefits:
  • Life and Disability Insurance
  • 10.5 Paid Holidays
  • Sick Time
  • Vacation Time
  • AFLAC
  • 401(k) matching
  • Competitive salary
  • Dental insurance
  • Health insurance
  • Vision insurance
Horizon Health in any Horizon location is seeking a full-time Revenue Integrity Analyst. The Revenue Integrity Analyst is responsible for monitoring, analyzing, and improving the organization’s revenue cycle processes to ensure accurate reimbursement, compliant billing practices, and optimization of revenue opportunities. The Revenue Integrity Analyst identifies revenue leakages, payer reimbursement issues, charge capture deficiencies, and workflow inefficiencies. They proactively monitor revenue performance, investigate reimbursement
variances, identify root case of denials and underpayments, conduct audits, and develop corrective action plans that improve financial outcomes while ensuring regulatory compliance. Horizon Health offers a collaborative, team-oriented work environment focused on meeting the needs of individual patients while supporting and contributing to the health and wellness of our communities.

*Position may be remote eligible for the right candidate.

Key Responsibilities:
  •  Audit Medicare, Medicaid, Medicare Advantage, Commercial, and Managed Medicaid claims for reimbursement accuracy.
  •   Audit remittance advice data for payer compliance with contractual reimbursement requirements and ensure payer paid correct allowed amount per payer fee schedule.
  • Monitor denials, underpayments, charge lag, claim edits, and payment variances.
Our Culture:
Horizon Health’s culture is built on the Non-Negotiable attributes of Respect, Teamwork, Accountability, Integrity, Professionalism, and being Rurally Focused — ensuring every team member upholds these attributes daily. The organization values all contributions equally, supports individual growth, and aims to be your "forever employer" that enhances both employee satisfaction and community health outcomes.
    

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