Revenue Integrity Specialist

At the Great Falls Clinic Hospital, we pride ourselves on providing high quality care and exceptional service to our patients. Here you will find excellent nurse to patient ratios. This allows us to provide more personalized care and create stronger connections. You will discover a culture of teamwork, compassion, and an opportunity for professional growth.

POSITION OVERVIEW:

The Revenue Integrity Specialist ensures accurate and timely payments from third party payers in compliance with contracts and government fee schedules. They review trends in third party payments, compare actual payments to managed care contract reimbursement schedules and government payer fee schedules. The Revenue Integrity Specialist will prepare relevant reports for management review. The Revenue Integrity Specialist will develop, produce, validate and distribute standard management and ad-hoc reports as requested by end-users including but not limited to: Revenue Cycle Director, Department Administrators, Coding Coordinators, Great Falls Clinic & Hospital Contracting. This position will obtain, manipulate and analyze data from a variety of sources including but not limited to: Physician and Hospital billing systems, external contract management systems, and various other systems.

EDUCATION:

• High School diploma or equivalent, required

EXPERIENCE:

• One (1) year of healthcare (Hospital and Clinic)
• Experience with Meditech EMR, required
• Two (2) to five (5) years of healthcare (Hospital and Clinic), preferred.

LICENSE/CERTIFICATIONS:

• Certification, preferred

KNOWLEDGE/SKILLS/ABILITIES:

• Strong Verbal and written communication skills.
• Excellent conflict resolution skills
• Problem-solving skills
• Self-motivated and self-starting
• Training and education
• Use of usual and customary equipment used to perform essential functions of the position.
• Position preferred to be on-site.

NOTICE OF PRE-EMPLOYMENT SCREENING REQUIREMENTS:

If you receive a job offer, please note all offers are contingent upon passing a pre-employment screening, which includes:

• Criminal background check
• Drug Screening
• Health and Immunizations Screening

ABOUT US:

In 1917, four visionary medical leaders opened a world-class comprehensive health care center, with an integrated team of specialists and a personal approach to wellness - far from an urban center. Today, we are focused on becoming Montana's healthcare provider of choice.

We are committed to recruiting the most contemporary medical staff, harnessing the power of the latest medical technologies, continually striving for advancement, and above all, working as a team to meet the health needs of the 250,000 residents living in our 17 local counties.

Our vision is to be the healthcare provider of choice for patients and the workplace of choice for staff and providers. We will achieve this vision by committing to a culture of integrity and safety, evidence based exceptional care, compassionate customer service, great work environment and innovation/technology.

ABOUT GREAT FALLS:

Great Falls lies about halfway between Yellowstone and Glacier National Parks. With close access to world class fishing and floating, not only on the Missouri River, but also several other lakes and rivers. Great Falls is an active community within 1 hour of two local ski resorts. We encourage a fun, collaborative work environment as well as a good work/home life balance. If you are interested in being a part of a dynamic, impactful team, in a family friendly community, Great Falls and Great Falls Clinic Hospital are for you. We would love to hear from you and discuss this opportunity.

EQUAL OPPORTUNITY EMPLOYER:

Great Falls Clinic, LLC is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status, race, color, gender, sexual orientation, religion, national origin, age, disability, or any other basis protected by applicable law.