Building Location:Business Service Center
Department:1006210 REVENUE INTEGRITY - EH SS
Job Description:Responsible for developing reporting and other analytics to identify opportunities or problems, process improvements and other system changes; responsible for Chargemaster files and fee schedules. Also serves as a technical resource to Level I Analysts, in maintaining the integrity of Chargemaster files and fee schedules through annual updates, periodic audits and ongoing review. Plans and performs moderately complex ad hoc queries and analyses for members of Revenue Services Management Team and Essentia Administration. Works collaboratively with Revenue Services staff, Finance and the Clinical Departments to continually analyze billing processes through developing trending, and modeling to ensure accurate and optimal revenue capture. Reviews facility site needs including occasional onsite visits to proactively provide service and support and assesses the charge master and billing system for opportunities for optimal revenue capture and to incorporate standardized workflows. May provide information and analysis with vendor proposals and negotiations related to charge master compliance reviews and maintenance tools. Serves as a technical resource in developing and documenting routine custom billing system tests, builds, and enhancements that will improve maintenance and/or prevent billing errors. Performs moderate complexity analysis and coordinates workflow implementations and support.
Education Qualifications:
Educational Requirements:
- Bachelor’s degree in information systems, finance, business or related field
Required Qualifications:
- 1 years of experience in Information Services, Business, Healthcare or related field
- Knowledge of clinical and business structures of a complex, integrated healthcare delivery system
- Current working knowledge of trends, regulations, & issues concerning 3rd party payers In-depth understanding of fees and reimbursement relating to health care services
- Knowledge of billing systems, especially Epic
Licensure/Certification Qualifications:
FTE:1
Possible Remote/Hybrid Option:
Remote
Shift Rotation:Day Rotation (United States of America)
Shift Start Time:8:00
Shift End Time:4:30
Weekends:
Holidays:No
Call Obligation:No
Union:
Union Posting Deadline:
Compensation Range:
$51,875.20 - $77,812.80
Employee Benefits at Essentia Health*:
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Health Coverage: Medical, dental, vision, life and disability insurance, plus supplemental health benefit options to ensure employees' well-being.
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Retirement Savings Plans: 401(k) with employer contributions to support long-term financial security.
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Professional Development: Opportunities for career growth through training, tuition reimbursement, and educational programs.
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Work-Life Balance: Flexible scheduling, time off, holidays, and personal leave to help employees manage their professional and personal lives.
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Employee Wellness Programs: Initiatives focused on physical, mental, and emotional health, including fitness memberships, counseling services, and wellness activities.
*Eligibility for Essentia Health’s benefit programs vary. Please refer to the benefit summary provided to you, or contact our HR Service Center at (218) 576-0000 for more information.
Top Skills
What We Do
Essentia Health is an integrated health system serving patients in Minnesota, Wisconsin, and North Dakota.
Headquartered in Duluth, Minnesota, Essentia Health combines the strengths and talents of more than 15,000 employees, including more than 2,200 physicians and advanced practitioners, who serve our patients and communities through the mission of being called to make a healthy difference in people’s lives.
Essentia Health, which includes many Catholic facilities, is guided by the values of Quality, Hospitality, Respect, Joy, Justice, Stewardship, and Teamwork. The organization lives out its mission by having a patient-centered focus at 14 hospitals, 78 clinics, six long-term care facilities, six assisted living and independent living facilities, six ambulance services, 24 retail pharmacies, and one research institute