Revenue Integrity Specialist

This is a hybrid opportunity. The ideal candidate must be commutable to one of our locations. The Revenue integrity Specialist is responsible for ensuring the accuracy, compliance, and optimization of revenue-related activities in a healthcare organization. They monitor billing processes, ensure accurate charging, identify areas of revenue leakage, and ensure compliance with healthcare regulations and payer policies. This role also involves educating staff, auditing records, and implementing improvements in systems and processes to protect the organization's revenue stream. Review commercial payer policies, provider manuals and regulations to ensure compliance. Manage additions and changes to charges and claim rules. Identify opportunities for improvement. Assist with validation of data used in analysis. Collaborate with other departments. Responsibilities This is a hybrid opportunity. The ideal candidate must be commutable to one of our locations. The Revenue integrity Specialist is responsible for ensuring the accuracy, compliance, and optimization of revenue-related activities in a healthcare organization. They monitor billing processes, ensure accurate charging, identify areas of revenue leakage, and ensure compliance with healthcare regulations and payer policies. This role also involves educating staff, auditing records, and implementing improvements in systems and processes to protect the organization's revenue stream. Review commercial payer policies, provider manuals and regulations to ensure compliance. Manage additions and changes to charges and claim rules. Identify opportunities for improvement. Assist with validation of data used in analysis. Perform Charge Reconciliation. Collaborate with other departments. Qualifications Required Qualifications: Bachelor's degree or 6 years of equivalent related work experience or an associate's degree with 4 years of related work experience Three years of previous healthcare, insurance, or finance experience Knowledge of DRG, ICD, and CPT medical record coding and UB and HCFA 1500 claim billing strongly preferred. Previous experience with an Electronic Health Record or documentation. Intermediate mastery of Microsoft Office, including Excel Preferred Qualifications: Minimum of two years in healthcare revenue integrity Overview The Hazelden Betty Ford Foundation is the largest nonprofit addiction recovery organization in the United States. It is also one of the most mission-driven places you will find. The Hazelden Betty Ford Foundation team is passionate about providing hope and ultimately healing. As a living, growing and evolving institution, the Hazelden Betty Ford Foundation is - at our core- a people-powered organization. Hazelden Betty Ford Foundation is comprised of 1600+ employees, seventeen treatment sites and produces $190 million dollars in annual revenue. This exemplary organization serves nearly 25,000 people annually and is committed to provide hope and healing for those experiencing addiction to alcohol and other drugs. What makes this organization unique is its total ecosystem approach to prevention, education, research, advocacy and treatment. All of the parts of the organization work together to inform, develop and deliver evidence- based practices that help people reclaim their futures and restore their hope. Being "a best place to work" is a strategic goal of Hazelden Betty Ford Foundation and it's a goal that every employee plays an active role in helping to achieve. Our culture is a reflection of how encouraged and energized we each feel about contributing our ideas and performing to our greatest ability. Join us and do meaningful work. We deeply value our employees. Working at Hazelden Betty Ford Foundation includes a comprehensive benefits package, including: Competitive Health, Dental and Vision Plans Retirement savings plan with employer match Paid time-off Tuition reimbursement The Hazelden Betty Ford Foundation is proud to be an equal opportunity and affirmative action employer. We believe that diversity and inclusion among our colleagues is critical to our success as a force of healing and hope for individuals, families and communities affected by addiction to alcohol and other drugs; and we seek to recruit, develop and retain the most talented people from a diverse candidate pool. Salary new (max and min) USD $58,420.00 - USD $85,129.00 /Yr. #J-18808-Ljbffr Hazelden Betty Ford Foundation