High School Diploma or Equivalent Required
Education: High School graduate or equivalent. Medical terminology preferred.
Training and Experience: Must be able to accurately type 25-30 words per minute and Pass a clerical examination. After training, must pass internal examinations to demonstrate mastery of Patient Access Services computer applications. Must exhibit competency with Microsoft Office applications. Previous experience in hospital admissions, business office and/or physician's office preferred.
After training, must pass internal certification examinations to demonstrate understanding of Patient Access Services overall competencies.
The Revenue Integrity Analyst (RIA) can perform all Patient Financial Services (PFS) functions including but not limited to those outlined below.
The responsibilities of this position includes performing audits of the work of new and current employees within Unity Health access management departments of including all Patient Access Services general competencies and uses of the CPSI and PFS applications. The RIA utilizes automated quality assurance reports, and denial information to develop and distribute quality assurance "Report Cards" for PFS personnel. Provides quality assurance trending reports by shift and work area. Meets Team Leads and Supervisors to discuss employee performance. Acts as a role model in the area of professional maturity and performance standards.
A Revenue Integrity Analyst is fully competent in all of the PFS functions that they audit. This employee is internally certified in all general functional areas for PFS Representatives which include:
Emergency Dept Registration
Outpt Surgery & Special Procedure Reg
Inpatient & Observation Processing
Government Payer Billing
Commercial Payer Billing
Worker's Compensation Billing
Automobile Payer Billing
Government Payer Follow-up Collections
Commercial Payer Follow-up Collections
Worker's Compensation Follow-up Collections
Automobile Payer Follow-up Collections
Credit Balance Processing
White County Medical Center