Senior Revenue Integrity Analyst

Mass General Brigham (Enterprise Services)
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Jan 22, 2025
Responsible for analyzing, reporting, and optimizing revenue to support financial objectives. Ensures accurate billing, identifies revenue enhancement opportunities, and collaborates with departments to streamline revenue cycle processes and reduce discrepancies in claims and reimbursements. -Analyzes revenue cycle data to identify trends, variances, and areas for improvement. -Collaborates with billing and claims teams to address revenue discrepancies and optimize billing accuracy. -Prepares financial reports detailing revenue performance, payer reimbursement rates, and claims processing outcomes. -Monitors key performance indicators (KPIs) for revenue cycle activities and identifies process improvement opportunities. -Ensures compliance with billing regulations, payer requirements, and reimbursement guidelines. -Develops and maintains revenue forecasting models to aid in strategic planning. -Conducts root cause analysis of denied claims and collaborates with departments to implement corrective actions. -Assists in the development and implementation of revenue policies and procedures to ensure consistent and effective practices. -Liaises with departments to ensure seamless integration of revenue cycle processes with operational practices. Bachelor's Degree Finance required or Bachelor's Degree Accounting required or Bachelor's Degree Healthcare Administration required or Bachelor's Degree Related Field of Study required Experience in revenue cycle analysis, billing, claims processing, or financial analysis in a healthcare setting 3-5 years required Knowledge, Skills and Abilities - Proficiency in revenue cycle management and data analysis tools. - Advanced Excel skills and familiarity with billing software and revenue management systems. - Strong problem-solving abilities and attention to detail. - Excellent communication and collaboration skills to work across departments. - Knowledge of billing regulations, reimbursement guidelines, and claims management practices. Physical Requirements Standing Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs - 35lbs Carrying Occasionally (3-33%) 20lbs - 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.