Envision Healthcare

Remote Revenue QA Analyst

Job Locations US-FL-Fort Lauderdale
Company Enterprise
Requisition ID
2022-31828
Category
Accounting/Finance

Overview

Revenue QA Analyst - Envision Healthcare

 

This a Remote role allowing the employee the freedom to work aywhere in the country!

 

Company Overview

Envision Healthcare is a leading national medical group focused on delivering high quality care to patients when and where they need it most. More than 30,000 clinicians and clinical support teammates call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.

 

Through Envision Physician Services and AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.

 

Envision’s core values drive continual advancement and ingenuity across the enterprise:

  • Be Curious-embrace learning, seek out diversity of thought, listen openly, ask questions, and ask for feedback
  • Instill Trust-have the hard conversation, presume good intent, honor commitments, and do the right thing for patients and each other
  • Pursue Extraordinary-challenge the status quo, champion change, innovate and constantly aim higher
  • Care Deeply-serve patients, partners, communities, and each other with empathy, compassion, and respect
  • Embrace Teamwork-work cross-functionally, break down walls, develop others, be inclusive and unite to improve patient health
  • Inspire Joy-seek fulfillment and the joy of medicine, appreciate others, celebrate wins, and promote wellness and belonging

Benefits

We offer you an outstanding total compensation package, and a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits package includes: medical, dental and vision, life & disability, 401k, HSA, Flexible Spending and an Employee Assistance Program.

If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.

 

We currently have an exciting opportunity available for an experienced Revenue QA Analyst!

 

 

Responsibilities

The Enterprise Revenue Quality Assurance (QA) team is tasked with enhancing the effectiveness of net patient revenue realization and minimizing revenue leakage across all services lines as well as ensuring compliance with company policies and procedures.  The Revenue QA Analyst is responsible for executing the Revenue Integrity workplan, which includes continuous monitoring of key Revenue Cycle Management processes to drive best practices in documentation, charge capture, billing and collection processes.

 

Essential Duties and Responsibilities

  • Performs continuous reviews of key RCM processes based on annual Revenue QA work plan and work program / checklist as it relates to the following:
    • Charge master accuracy and maintenance
    • Quantification of missed revenue opportunities (chart and charge capture)
    • Billing timeliness and evaluation of root causes of delays
    • Patient registration and insurance verification
    • Denial root cause analysis and appeal processes
    • Payment posting accuracy
    • Payment adjudication (over and underpayment) analysis and resolution, including refunds
    • Collection timeliness
    • Write-off appropriateness
  • Utilize EVPS Data Warehouse tools to analyze RCM data and establish trends
  • Confirms issues identified with business owners
  • Drafts reports summarizing findings for discussion with RCM leadership and operations
  • Works in collaboration with RCM management team to review and revise policies based on findings to drive best practices
  • Works independently and uses judgment resolve issues but knows when to escalate to supervisor / management
  • Reads and abides by the company’s code of conduct, ethics statements, employee handbook(s), policies and procedures and other corporate mandates, including participation in mandatory training programs
  • Reports any real or suspected violation of the corporate compliance program, company policies and procedures, harassment or other prohibited activities in accordance with the reporting policies of the company

 

Qualifications

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

  • Strong understanding of end-to-end revenue cycle management processes
  • Strong interpersonal, written and oral communication skills
  • Strong analytical and critical thinking skills with attention to detail and ability to prioritize key findings
  • Work independently and use professional judgement
  • Strong time management and organizational skills
  • Participate and work well in a team environment and actively promote knowledge-sharing
  • Meet established production and quality goals/metrics in a high pace environment
  • Follow up in a timely manner on open items
  • Effectively prioritize work on a daily basis
  • Self-motivated and results oriented
  • Flexible and able to adapt quickly in a fast moving company
  • Ability to own projects and drive them to completion
  • Open to change and willing to pursue new challenges
  • Ability to travel up to 5 – 10% of the time for team meetings

 

Education/Experience

  • Bachelor’s Degree from four-year college or university and 2 or more years of progressive work related experience in a healthcare revenue cycle management setting; or at least 5 years of equivalent combination of education and progressive experience
  • Proficient in end-to-end Revenue Cycle Management processes

 

If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.

Envision Healthcare uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.


Envision Healthcare is an Equal Opportunity Employer.

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed

Connect With Us!

Not ready to apply? Connect with us for general consideration.