Revenue Integrity Specialist
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Job Location:
Marquette, MI - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Your experience matters
At UP Health System Marquettewe are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and your role youll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.
What we offer
Fundamental to providing great care is supporting and rewarding our addition to your base compensation this position also offers:
- Health (Medical Dental Vision) and 401K Benefits for full-time employees
- Competitive Paid Time Off
- Employee Assistance Program mental physical and financial wellness assistance
- Tuition Reimbursement/Assistance for qualified applicants
- And much more...
About Us
People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. UPHS Marquette is a 222 bed hospital in Marquette MI and houses the regions only Level II Trauma Center and Neonatal Intensive Care Unit (NICU). We also provide outreach with programs like annual health and safety fairs health screenings for the entire family and more to keep our community healthy!
In Marquette our fascinating history rural landscape abundant recreational opportunities and welcoming people make the Upper Peninsula someplace special. From a thriving culinary scene to charming shops to historic lighthouses and museums there is something for everyone in this beautiful lakeside gem.
How youll contribute
The Revenue Integrity Specialist is responsible for handling the payer enrollment process for the medical staff throughout the complete process and maintaining communication to ensure the current credentials and licenses remain current.
Qualifications and requirements
Education: High school diploma or equivalent Required. College education or 2 years experience preferred>
Must have experience using Microsoft Office programs (Excel Word Outlook PowerPoint)
Must be able to communicate effectively and be able to multi-task.
2 years of clerical experience preferred
Essential functions:
- Serve as liaison with Administration Medical Staff Managers and HSC enrollment
- Communicate effectively with providers and administration
- Initiate and maintain provider enrollment
- Identify any new payer enrollment requirements
- Educate Manager/Staff on the payer requirements for claim processing
- Process payer denials related to provider enrollment
Maintains established hospital and departmental policies and procedures objectives performance improvement program safety environment of care management of information and infection control standards.
Complies with federal and state law and accrediting and licensing agencies at all times to include but not limited to TJC and federal compliance regulations.
Enhances professional growth and development through participation in education programs current literature inservice meetings and professional conferences.
EEOC Statement:
UP Health System Marquette is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color race sex age religion national origin disability genetic information gender identity sexual orientation veterans status or any other basis protected by applicable federal state or local law.
Required Experience:
IC
Key Skills
- ASC 606
- Hotel Experience
- Hospitality Experience
- GAAP
- Accounting
- Revenue Management
- Pricing
- Analysis Skills
- Salesforce
- SOX
- ERP Systems
- NetSuite
About Company
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 a ... View more
