Revenue Integrity Sr. Spec.
• Bachelor’s Degree. A degree in nursing (BSN) or RN, business administration (w/ quality/operations improvement emphasis), healthcare administration (w/ quality/operations improvement emphasis), organizational development, or similar field, preferred. Master’s degree a plus.
• Three (3) years clinical experience or years of experience in revenue cycle processes. Hospital billing and healthcare finance background strongly encouraged, preferred.
• Knowledge of Medicare, Medicaid, Blue Cross and other third party payers billing and reimbursement regulations/policies, preferred.
• Excellent oral and written communication skills, including the ability to teach complex technical/analytical concepts to management and staff.
• Knowledge of Medicare, Medicaid, and other 3rd party billing rules/coverage.
• Ability to manage simultaneous assignments with potentially conflicting priorities and deadlines.
• Ability to identify when input from Director, Manager or other senior staff members is necessary.
• Strong interpersonal skills; ability to communicate effectively with all levels of management and staff across the System.
• Strong, growing base of analytical/technical, facilitative, and process improvement knowledge.
• Knowledge of effective data gathering techniques.
• Sound decision-making skills.
• Proven project management skills.
• Strong diplomacy and collaboration skills.
• Strong Microsoft Office skills.
CERTIFICATIONS/LICENSURES REQUIRED
• Coding Credential (CPC, COC, CCA, CCS, RHIT) or Clinical Credential (RN, NP, PA) preferred.
• Certification in some or all of the following: Lean, Six Sigma or equivalent industry training and experience preferred.
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan’s largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more at henryford.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Henry
Ford Health has a new approach for its employee benefits program - My Choice
Rewards. My Choice Rewards is a program as diverse as the people it serves. There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.