Revenue Integrity Specialist

Your experience matters 

At UP Health System - Marquette, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.

 What we offer

Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers:  

• Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
• Competitive Paid Time Off 
• Employee Assistance Program - mental, physical, and financial wellness assistance
• Tuition Reimbursement/Assistance for qualified applicants
• And much more...

About Us 

People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. UPHS - Marquette is a 222 bed hospital in Marquette, MI and houses the region's only Level II Trauma Center and Neonatal Intensive Care Unit (NICU). We also provide outreach with programs like annual health and safety fairs, health screenings for the entire family and more to keep our community healthy!

In Marquette our fascinating history, rural landscape, abundant recreational opportunities, and welcoming people make the Upper Peninsula someplace special. From a thriving culinary scene to charming shops to historic lighthouses and museums, there is something for everyone in this beautiful lakeside gem.

How you'll contribute 

The Revenue Integrity Specialist is responsible for handling the payer enrollment process for the medical staff throughout the complete process and maintaining communication to ensure the current credentials and licenses remain current.

Qualifications and requirements 

Education: High school diploma or equivalent Required. College education or 2 years experience preferred>
Must have experience using Microsoft Office programs (Excel, Word, Outlook, PowerPoint)
Must be able to communicate effectively and be able to multi-task.  

2 years of clerical experience preferred
 

Essential functions:

• Serve as liaison with Administration, Medical Staff, Managers and HSC enrollment
• Communicate effectively with providers and administration
• Initiate and maintain provider enrollment 
• Identify any new payer enrollment requirements
• Educate Manager/Staff on the payer requirements for claim processing
• Process payer denials related to provider enrollment

• Maintains established hospital and departmental policies and procedures, objectives, performance improvement program, safety, environment of care, management of information, and infection control standards.

• Complies with federal and state law and accrediting and licensing agencies at all times, to include but not limited to, TJC and federal compliance regulations.

• Enhances professional growth and development through participation in education programs, current literature, inservice meetings, and professional conferences.

EEOC Statement:

UP Health System - Marquette is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.