REVENUE INTEGRITY SPECIALIST

Aspirus Health•Wausau, WI

4d•Onsite

About The Position

Aspirus Health is seeking a Revenue Integrity Specialist to join its Revenue Cycle team in Wausau, Wisconsin. The specialist analyzes revenue-cycle data to assess timeliness, effectiveness, and accuracy. The role conducts research and analysis, identifies opportunities, and initiates best-practice enhancements to revenue-cycle practices. Areas of responsibility may include tracking key performance indicators, strategic pricing analysis, supporting price transparency, revenue integrity analysis, reimbursement verification, and other requested ad-hoc analysis. The specialist also serves as a revenue-cycle expert for their areas of responsibility.

Requirements

Knowledge of business analysis normally acquired through a bachelor's degree in Business, Finance, or another health-related profession.
Knowledge of revenue-cycle practices normally acquired through previous experience, including understanding multiple reimbursement systems.
Advanced Microsoft application skills, such as using Excel to create robust spreadsheets.
Resourcefulness, innovation, interpersonal skills, and critical-thinking skills.
Ability to use independent judgment and make decisions.
Ability to deal with frequent interruptions, work in a team environment, and prioritize workload.
Project management, problem-solving, and analytical skills needed to develop and implement appropriate changes.
Understanding of general business concepts and the regulatory environment.
Strong troubleshooting and conflict-resolution skills.
Strong customer orientation and professionalism.
Completion of annual competencies as required by Aspirus and/or applicable regulatory agencies, based on entity and/or job position.

Nice To Haves

Five years of business analytics experience with specific expertise in revenue-cycle operations is preferred.
Experience with electronic medical record billing systems; knowledge of EPIC is preferred.

Responsibilities

Analyze revenue-cycle data to assess timeliness, effectiveness, and accuracy.
Conduct research and analysis, identify opportunities, and initiate best-practice enhancements to revenue-cycle practices.
Track revenue-cycle key performance indicators.
Perform strategic pricing analysis and support price transparency.
Conduct revenue integrity analysis and reimbursement verification.
Perform additional ad-hoc analysis as requested.
Serve as a revenue-cycle expert for areas of responsibility.