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Revenue Integrity Specialist

Company: Villagemd
Location: Chicago
Posted on: January 17, 2022

Job Description:

Join VillageMD as a Revenue Integrity Specialist

Join the frontlines of today's healthcare transformation

Why VillageMD?

At VillageMD, we're looking for a Revenue Integrity Specialist to help us transform the way primary care is delivered and how patients are served. As a national leader on the forefront of healthcare, we've partnered with many of today's best primary care physicians. We're equipping them with the latest digital tools. Empowering them with proven strategies and support. Inspiring them with better practices and consistent results.

We're creating care that's more accessible. Effective. Efficient. With solutions that are value-based, physician-driven and patient-centered. To accomplish this, we're looking for individuals who share our sense of excellence, are ready to embrace change, and never settle for the status quo. Individuals who have the confidence to lead but the humility to never stop learning.

Could this be you?

As an integral member of the VillageMD, the Revenue Integrity Specialist plays a vital role to the success of Village Medical. This role will be responsible for noting any miscellaneous charges that fall outside of the SOW for our 3rd party vendor(s) and auditing all charges entered by all parties; including but not limited to, internal resources and 3rd party vendor(s). This is a multi-tasking position responsible for ensuring all daily work is completed according to VMDs policies.

How You Can Make a Difference

  • Collaborative interaction with 3rd party vendors, finance team, shared services, and other staff members for accurate processing of all assigned functions.
  • Perform weekly/monthly audits of charge entry accuracy according to payer policy and report findings in a structured format to direct supervisor and/or director of Revenue Cycle.
  • Timely and accurate documentation of any activity within a patient account is required for a complete and accurate audit trail.
  • Review/Audit claim creation bucket daily and report findings.
  • Reports any abnormalities in relation to 3rd party vendors to Management in a timely manner.
  • Key misc. charges that may fall outside the SOW for 3rd party vendor(s).
  • Report missing encounter data to Management daily.
  • Performs other duties as assigned.
    Skills For Success
    • Self-motivated: energetic, self-starter; can work autonomously with limited direction.
    • Results oriented: bias for action; demonstrated track record of achievement; drive for attainment of superior outcomes.
    • Flexible: ability to navigate within ambiguity; solution oriented.
    • Analytical: strong research, writing, analytical and critical reasoning skills.
    • Communication: conveys thoughts and expresses ideas effectively both verbally and in writing; strong presentation skills.
    • Collaboration: orientation to team-based work product and results.
    • Humility: low ego; engenders trust; respectful.
      Experience To Drive Change
      • A minimum of 4 years of relevant back-end professional fee revenue cycle related experience.
      • Professional Coding Certification such as CCS, CPC or CRC, required
      • High school diploma.
      • Prior experience in working with computer software including troubleshooting, analytical and problem-solving skills, decision making skills, stress management skills and time management skills.
      • Excellent command of practice management systems for billing and accounts receivable, spreadsheets, reporting applications, medical terminology, coding and office procedures.
      • Demonstrated success and skill in management of projects and meeting deadlines.
      • Must possess excellent communication skills, demonstrate the ability to work in a team environment, and be able to effectively manage multiple work processes simultaneously.
      • Have working knowledge of Microsoft Office products.
      • Strong knowledge of payer claims processing policies.
        How You Will Thrive

        In addition to competitive salaries, a 401k program with company match, bonus and a valuable health benefits package, VillageMD offers paid parental leave, pre-tax savings on commuter expenses, and generous paid time off. You work in a highly-collaborative, conscientious, forward-thinking environment that welcomes your experience and enables you to make a significant impact from Day 1.

        Most importantly, you make a difference. You see a clear connection between your daily work on VillageMD products and services and the advancement of innovative solutions and improved quality of healthcare for providers and patients.

        Our unique VillageMD culture how inclusion and diversity make the difference

        At VillageMD, we see diversity and inclusion as a source of strength in transforming healthcare.We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system.Individuals seeking employment at VillageMD are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

        Those seeking employment at VillageMD are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.

        Explore your future with VillageMD today.by Jobble

Keywords: Villagemd, Chicago , Revenue Integrity Specialist, Accounting, Auditing , Chicago, Illinois

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