Revenue Integrity Analyst
Remote, | Billing
(Position at GoHealth Urgent Care)
Position Summary:
- High School Diploma or GED required
- Bachelor’s Degree preferred
Work Experience
- Minimum three years’ of CBO experience working in various CBO departments
- Five years of progressive experience communicating through various means across all job categories
Required Licenses/Certifications
- Epic Physician Billing Certification, preferred
- CPC or CCSP
- Strong knowledge of Excel, Word, and PowerPoint
- Ability to interact with and work with peers and management
- Ability to make judgements in demanding situations
- Ability to react to frequent changes in duties and volume of work
- Effective communication skills
- Ability to logically organize details
- Epic and/or ECW experience
ESSENTIAL FUNCTIONS
• Leads the development and refinement of charge capture workflows.
• Leads the development, fine tuning, and auditing of charge capture reconciliation.
• Develops and maintains dashboards and reports on charge capture and charge capture reconciliation.
• Monitors, reports, and takes action on trends in claim denials and zero payments.
• Recommends front end staff education and communication for denial prevention.
• Develops and maintains dashboard and reports on denial and zero payment management and prevention.
• Prepares summaries that pinpoint root causes of charge and billing errors.
• Participates in Charge Master (CDM) and Physician fee schedule maintenance efforts
• Additional miscellaneous duties and responsibilities, as may be assigned.
All qualified persons are granted an equal opportunity for employment without regard to race, color, religion, sex, sexual orientation and gender identity or expression, age, national origin, citizenship status, disability, genetic information, medical condition, family care leave status, pregnancy or pregnancy-related condition, otherwise qualified disabled or veteran status. The company will comply with all fair employment laws in each of the jurisdictions where we conduct business.
For applicants in California, please review our California Consumer Privacy Statement here.
About GoHealth Urgent Care
GoHealth Urgent Care has outstanding career opportunities in Atlanta, the Bay Area, Connecticut, Delaware, Maryland, Michigan, Missouri, New York, North Carolina, Northwest Arkansas, Oklahoma City, Portland/Vancouver, Texas and Virginia. And all of these positions have one thing in common: flexibility to practice and support urgent care medicine the way it was meant to be, without the stress and bureaucracy of hierarchical organizations. With reasonable work hours that don’t emotionally exhaust or burn them out, our team can balance and prioritize their professional and personal lives. Remote positions are also available.