revology is a technology-enabled healthcare revenue cycle management (RCM) firm providing outsourced services to hospitals, health systems, and physician groups. Our tech smart-from-the-start strategy enables us to break through conventional barriers and empower each revologist to drive a higher standard of revenue cycle performance. This is possible because we spend our lives in the sweet spot where smart tech and good humans reach their highest potential and maximize outcomes.
At revology, we are committed to stewarding and empowering an inclusive environment within our company and our communities. While we believe in “culture” - we don’t believe in “culture fit”. We encourage every single revologist to bring their unique perspective, lived experience and authentic selves to the table. revology is an equal opportunity employer and we encourage everyone to apply for our available positions - including women, people of color, individuals with disabilities and those in the LGBTQIA+ community.
Role: Revenue Integrity Specialist
Location: Remote. Must work in a location within the United States
Travel: No travel required
Classification: Salaried, Exempt
Reports to: Manager, Revenue Integrity
Salary Range: Commensurate with experience
about the role
The Revenue Integrity Specialist is responsible for analyzing, auditing, and ensuring that all revenue-related activities adhere to payer policies, regulatory requirements, and industry standards. The Revenue Integrity Specialist will work closely with various departments and payers to identify and resolve issues, enhance revenue processes, and support overall financial integrity.responsibilities
Conduct comprehensive reviews and audits of revenue transactions, billing processes, and related documentation to ensure accuracy and compliance.
Stay updated on changes in revenue-related regulations and best practices, and implement necessary adjustments to company procedures.
Collaborate with cross-functional teams and external vendors to develop and implement strategies for improving revenue processes and systems.
Provides training support for new and existing processes, policies, and requirements in collaboration with other internal and external teams.
Review contractual underpayments to drive process improvements.
Navigate several computer applications simultaneously; document all actions taken in appropriate revology and/or client systems.
Complies with and holds with utmost regard all compliance requirements to protect patient privacy and confidentiality.
Stay curious, kind and contribute positively to the revology culture. The health + harmony of the team is everybody’s responsibility at revology.
The statements stated in this job description reflect the general duties as necessary to describe the basic function, essential job duties/responsibilities, job requirements, physical requirements and working conditions typically required, and should not be considered an all-inclusive listing of the job. Individuals may perform other duties as assigned, including work in other functional areas to cover absences or relief, to equalize peak work periods or otherwise balance the workload.
requirements
- 3+ years of experience in denial management, and/or reimbursement experience working with regulations for medical coding in various settings such as facility, provider based, and/or professional
- Ability to work independently to accomplish goals in a dynamic environment.
- High school diploma or equivalent required; bachelor’s degree or equivalent experience preferred.
- An aptitude for problem-solving, patience and flexibility while working in the complex industry of healthcare revenue cycle.
- Ability to comfortably navigate a technology-focused setup to efficiently complete assigned work (multiple monitors + several applications open simultaneously).
remote work requirements
Internet capability must be a high-speed internet connection.
physical requirements
Must be able to perform physical activities, such as, but not limited to: moving or handling (lifting, pushing, pulling and reaching overhead) office equipment and supplies weighing 1 to 25 lbs. unassisted. Frequently required to sit for extended periods during the workday. Manual dexterity and visual acuity required. Must be able to communicate effectively on the telephone and in person.
working conditions
Work will generally be performed indoors in an office environment. Must maintain a professional appearance and manner.
employment eligibility
Candidates must be legally authorized to work in the United States without sponsorship.
United States
