• Pursue the recovery and allocation of overpaid dollars, and non-routine and complex refunds. • Manage, monitor, and work overpayment items. • Partner with third-party vendors, research and respond to recovery inquiries. • Make outbound calls to providers; track and conduct follow-ups to recover funds. • Collaborate with key business functions on escalated overpayments to coordinate recovery efforts. • Review, collect, and resolve overpay or recovery conflicting, missing or inaccurate information. • Partner with internal customers/business units, third party vendors, and liaisons to recover and fully allocate refunds. • Ensure all compliance requirements are satisfied and that all payments are made following company practices and procedures.

• Collaborating with individual departments to ensure charges are captured, entered, documented and reconciled timely and accurately. • Working with departments to develop processes to eliminate billing edits related to the revenue integrity functions. • Staying current on government regulatory changes and Federal and State proposals to change charging and reimbursement methodologies and payment systems. • Developing, implementing and providing ongoing monitoring and education related to revenue integrity throughout the Revenue Cycle process. • Developing processes which are designed to optimize and support revenue integrity, reduce risk and eliminate waste.

• Analyzes clinical, business and/or technical processes and problems to formulate and develop recommendations for new and modified systems that meet client and/or internal project requirements. • Provides technical expertise in identifying, evaluating and developing systems and procedures that are cost effective and meet user requirements. • Gathers and works with departments to prioritize development initiatives and activities. • Provides analysis of workflow, recommends solutions, and implements application solutions to meet departmental needs. • Translates departmental requests into business functional requirements. • Performs financial analysis/business plan/impact assessment. • Supports internal customers in functional areas including nursing, ancillary departments, Physician practices, patient accounting, medical records, finance, human resources, purchasing, sales, and contracts. • Manages system upgrades and other small projects.

• You will review, test, recommend and install upgrades of database software, including patches and major releases • Perform database backup and recovery, including periodic testing • Upgrade, configure and maintain server and database monitoring software to baseline system performance and identify (and remedy) potential issues • Resource monitoring and capacity planning • Review, test, update and document detailed disaster recovery/business continuity plans for main production servers • You will modify the database structure, from information given by application developers • Enroll users and maintain system security and you will control user access to the database • You will be primary responsible of this position during business hours, however there is some evening and weekend work related to projects, planned maintenance, and on-call support