Healthcare Revenue Data Integrity Specialist

Belleville, IL, US
Touchette Regional Hospital

The Healthcare Revenue Data Integrity Specialist plays a critical role in ensuring the accuracy and completeness of patient registration and insurance information. This role audits and scrubs patient data to reduce registration errors and insurance denials, supports clean and timely claims submission, and collaborates closely with registration and revenue cycle teams. Additionally, this specialist identifies trends, provides actionable insights, and delivers targeted education to staff to drive continuous improvement in patient access workflows and data quality.

This role serves as a subject matter expert for patient access data integrity and acts as a liaison between Patient Access, Revenue Cycle, HIM, and IT to support enterprise-wide data quality initiatives.

Data Auditing & Correction

• Conduct detailed audits of patient registrations, verifying demographic, insurance, and eligibility information.

  
  

• Identify and correct errors or discrepancies to ensure claims are submitted cleanly and timely.

• Monitor and resolve insurance verification and authorization issues that may impact billing or claims processing.

  
  

• Collaborate with Revenue Cycle and Health Information Management teams to ensure data integrity across systems.

• 
  

  Ensure registration and insurance data practices comply with payer requirements, regulatory standards, and organizational policies (e.g., Medicare, Medicaid, commercial payers).

  
  
  

• Participate in EHR build optimization, testing, or workflow enhancements related to patient access and insurance capture.

• Recommend system or process improvements to reduce manual rework and prevent upstream errors.

  
  

Trend Analysis & Reporting

• Analyze audit findings to identify recurring error patterns and root causes.

• Prepare regular reports and dashboards highlighting key trends and performance metrics.

  
  

• Communicate insights to leadership and stakeholders to support data-driven decision making.

Staff Education & Training

• Develop and deliver targeted training sessions for registration and scheduling staff based on audit findings.

  
  

• Provide ongoing feedback and coaching to improve accuracy and adherence to registration and insurance policies.

• Partner with department leaders to create and update best practice guidelines and standard operating procedures.

  
  

Education

• High school diploma or equivalent required; Associate or Bachelor’s degree in healthcare administration, business, or related field preferred.

Experience

• Minimum of 4 years of experience in Patient Access in a hospital setting preferred.

  
  

• Strong understanding of patient registration processes, insurance eligibility, and medical billing.

• Experience with electronic health records (EHR) systems and data auditing tools.

  
  

• Excellent analytical skills with the ability to identify trends and root causes.

• Strong technical proficiency in data entry (10-key + keyboard) and online insurance portals.

  
  

• Strong interpersonal and communication skills with the ability to effectively educate and collaborate with staff.

• Ability to work under pressure and meet fast-paced deadlines.

  
  

• Detail-oriented with a commitment to accuracy and continuous quality improvement.

• CHAA certification highly desirable

  
  

• Reduction in patient registration errors

• Decrease in insurance denials related to registration inaccuracies

  
  

• Timeliness and accuracy of claims submission

• Number and effectiveness of staff trainings delivered

  
  

• Improvement in audit pass rates over time

• Primarily works in a sedentary environment.

  
  

• Ability to walk, stoop, bend, and stand.

• Ability to lift up to 15 pounds.

  
  

• May occasionally need to travel to remote registration sites to assist with education.

Monday – Friday 7am – 5pm

Tagged as: Employment

Source ⇲
Hospital Careers