Billing Compliance and Revenue Optimization Specialist

Pricing AnalystPricing AnalystFull TimeRemoteTeam 10,001+H1B SponsorCompany SiteLinkedIn

Location

Virginia

Posted

9 days ago

Salary

Not specified

Bachelor Degree5 yrs expExperience acceptedEnglish

Job Description

• Ensure organizational compliance, audit readiness, revenue integrity, and operational effectiveness • Independently determine PBB eligibility for new and existing clinic locations • Lead completion of CMS PBB Attestation for hospital-owned clinics and facilities • Conduct scheduled annual compliance reviews • Validate accuracy of PECOS enrollment for hospital facilities • Monitor regulatory updates and communicate changes to stakeholders • Conduct financial modeling for PBB conversions • Analyze expected vs. actual revenue performance • Maintain a master registry of all facility locations including PBB status

Job Requirements

  • Bachelor's degree in healthcare administration, business, finance, or related field, or equivalent experience
  • Minimum 5 years of experience in revenue cycle, reimbursement, or compliance within a healthcare environment
  • Demonstrated experience interpreting and implementing federal regulations
  • Experience conducting root cause analysis and performance improvement activities
  • Experience conducting audits of revenue cycle workflows and billing system build to ensure compliance with regulations
  • Strong analytical skills
  • Experience working with Epic
  • Experience with Microsoft Word, Excel, PowerPoint, Teams
  • Exceptional written and verbal communication skills

Benefits

  • Health insurance
  • Retirement plans
  • Flexible work arrangements
  • Paid time off
  • Professional development

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