Remote Payment Validation & Reimbursement Specialist
Mosaic Life Care
Mosaic Life Care is seeking a Payment Validation Analyst to ensure accurate payer reimbursement and to analyze and resolve contractual underpayments. The role requires deep knowledge of hospital financial operations, coding, and contract management, with experience in Epic systems. Responsibilities include identifying root causes for underpayments, correcting fee schedules, and supporting rebill projects. Travel to off-site locations may be required as part of collaborative efforts across #J-18808-Ljbffr
- ...healthcare technology organization, the remote RN Inpatient DRG Validation Specialist will review inpatient claims and... ...and judgment to enhance payment integrity processes. Key responsibilities... ...-10-PCS concepts and inpatient reimbursement practices Experience in...Remote workReimbursement
- Mosaic Life Care in the northwest Missouri region is seeking a Payment Validation Analyst to support the Revenue Integrity team. You will analyze contractual underpayments, resolve price and contract discrepancies, and lead rebill projects to recoup underpayments while...Remote jobContract work
- ...Market Manager to acquire new merchant relationships and sell payment acceptance and related business solutions within an assigned market... ...annual base salary with a sales incentive program and mileage reimbursement; candidates must reside near Seattle, Tacoma, Bellevue, #J-1...Remote workReimbursement
$100k - $110k
...Payment Integrity Manager (RN) Fully remote, open to candidates located anywhere in the United States. Make... ...claims accuracy, driving reimbursement integrity, and helping create a more... ...Preferred Experience DRG validation or review experience Health plan...Remote workReimbursementFull time$128.47k - $208.77k
...ready autonomous platforms. The Autonomy Validation Lead will drive System Integration and... ...of onboard and offboard autonomous, remote control and semi-autonomous technology... ...InsuranceParental leaveAdoption benefitsTuition Reimbursement* These benefits also apply to part-time...Remote workReimbursementFull timePart timeWork at officeRelocationRelocation packageFlexible hours- ..., a health care system serving northwest Missouri, seeks a Payment Validation Analyst to ensure accurate payment from payors. The role reports... ...findings, assist with start-up for new programs, and help ensure compliant, timely reimbursements across hospital #J-18808-LjbffrRemote workReimbursement
$35 per hour
...specific California ZIP codes to participate in a payment testing task for a sports app. You will... ..., and provide redacted screenshots and documentation. The role is remote, self-guided, about 1.5 hours, with compensation up to $25/hr and reimbursement. #J-18808-Ljbffr...Remote workReimbursementFreelance- ...Mosaic Life Care is seeking a Payment Validation Analyst to ensure accurate payments from payors... ...Integrity and focuses on improving reimbursement accuracy across hospital financial operations... ...knowledge, and experience with Epic. Remote work is available for several US...Remote workReimbursement
- ...new merchant relationships and sell payment solutions within an assigned market.... ...banking partners in the DC Metro area. The position is remote-based with occasional in-person engagement, offering a base salary with incentives and mileage reimbursement. #J-18808-LjbffrRemote workReimbursement3 days per week
- ...Mosaic Life Care seeks a Payment Validation Analyst to ensure accurate payments from payors and validate line-item payments in Epic where... ...price/contract discrepancies, and rebill projects to optimize reimbursement. The role requires a Bachelor's degree and at least five...Remote workReimbursementContract work
- ...Mosaic Life Care in Missouri seeks a Payment Validation Analyst to ensure accurate payer payments. You will analyze underpayments, resolve price... ..., CPT/HCPCS/ICD-10 knowledge, and Epic systems experience. Remote work is available for specific states; travel to off-site...Remote workReimbursementContract work
$35 per hour
...the freedom and flexibility of remote work. About the Opportunity... ...ZIP codes to participate in a payment testing opportunity for a sports app. The goal is to validate the subscription purchase experience... ...subscription purchase will be reimbursed. You will need to make the...Remote workReimbursementFreelance- RethinkFirst is hiring a Reconciliation Specialist to support its billing teams by reconciling therapy session reimbursements and posting payments across billing systems. You will interact with insurers, monitor AR, and ensure accuracy in accounts receivable while maintaining...Remote jobReimbursement
- Mosaic Life Care is seeking a Payment Validation Analyst to ensure accurate payments from payors. You will analyze underpayments, price/contract... ...root causes in coding, charging, and billing to improve reimbursement. Travel may be required. #J-18808-Ljbffr Mosaic Life CareRemote jobReimbursementContract work
- BCBS Global Solutions seeks a Claims Payment Specialist to investigate and resolve payment issues across returned, rejected, and suspended reimbursements. You will coordinate with members, providers, and internal teams to ensure accurate processing and timely communications...Remote jobReimbursement
$92.77k - $135.78k
...ShiftFirst (Days)Overview:Supply Chain Payment Specialist Serves as a Subject Matter Expert (SME... ...Park (Virginia Beach)Potential Remote opportunity will be considered for strong... ...plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick...Remote workReimbursementFull timeContract workTemporary workShift work- ...Accounts Receivable/Collections Specialist to manage commercial,... ...revenue cycle policies. This remote role emphasizes accuracy, timely... ...and patients to maximize reimbursement. You will review EOBs, file... ...denials, and arrange patient payment plans while maintaining confidentiality...Remote jobReimbursement
- ...DESCRIPTION Job Summary Leads and manages team responsible for payment integrity activities including recovery operations.... ...programs. • Understanding of ICD-9/10CM, MS-, AP- and APR-DRG reimbursement. • Electronic medical record (EMR) and medical record repository...Remote workReimbursementFull timeWork at office
$56.2k - $101k
...management experience preferred. Benefits and Payment Configuration: Compliance Coding/Prepay... ...claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous... ..., and a flexible approach to work with remote, hybrid, field or office work schedules....Remote workReimbursementFull timePart timeWork at officeFlexible hours$105.56k - $162.55k
...Work Shift First (Days) Overview: Payment Policy Research Analyst Payment Policy Research... ...for growth w/in our core payment/reimbursement policies & be responsible for savings delivery... ...required within first 6 months of hire Remote Work Schedule Opportunity Qualified...Remote workReimbursementFull timeContract workTemporary workShift work- ...The Payment Validation Analyst works under the supervision of the Director of Revenue Integrity... ...where appropriate. Responsibilities Remote States: Candidates residing in the... ...Subject matter expert regarding payer reimbursements and contracts. Be informed of changes...Remote workReimbursementContract workWork experience placement
- ...Senior Manager, Billing & Payments Software Development We're building the fibernetwork... .... Job Description This is a remote position. Benefits: Medical, dental,... ..., training, career growth and education reimbursement programs. Ziply Fiber is a local...Remote workReimbursementLocal areaWork from homeFlexible hours
$112.7k - $193.2k
...manager with strong knowledge of Payment Integrity, healthcare claims... ...the flexibility to work remotely * from anywhere within the U... ...of healthcare claims, reimbursement, coding, policy, provider billing... ...processes used to identify, validate, prevent, or recover inappropriate...Remote workReimbursementMinimum wageFull timeWork experience placementWork at officeLocal area$72.8k - $130k
...Caring. Connecting. Growing together. As a Payment Integrity Data Analyst, you will be... ...algorithms.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you... ...) auditing Experience in Medicare reimbursement methodology Knowledge of NAIC (National...Remote workReimbursementMinimum wageFull timeWork experience placementWork at officeLocal area$82.72k - $108.57k
.... We're hiring an Associate to join our Payment Integrity team. Oscar is the first health... .... Work Location: This is a remote position, open to candidates who reside... ...edits, external vendor edits and Oscar reimbursement policies. Respond to internal and external...Remote workReimbursementFull timeContract workWork at office$68.9k - $131.1k
...Qualifications We PreferASIC / FPGA lab validation with advanced lab equipment... ...Strategy optionTuition reimbursement programStudent Loan... ...designated as on-site, hybrid or remote.The salary range for this... ...collective-bargaining agreement. Payments under these annual programs...Remote workReimbursementTemporary workWork experience placementWork at officeRelocationFlexible hours- ...Medical Director, Clinical Payment IntegrityThe Medical... ...integrity programs, reimbursement policy interpretation... ...reviews, clinical validation audits, appeals,... ...reviewers, nurses, coding specialists, and other payment... ...review capabilities.Fully Remote: This role is...Remote workReimbursementWork at office
- ...a detail-oriented Program Payments Specialist II to join our growing team... ...scenes. Location: Remote (U.S.) Key Responsibilities... ...Interview with Reimbursement Processing Manager Interview... ...environmental conditions. ~ Valid driver’s license and proof...Remote workReimbursementWork at officeFlexible hours
- ...healthcare get better. This position is 100% remote, offering the flexibility to work from... ...healthcare—one improvement at a time. Payment Determinations Coordinator | Fully... ...field. Familiarity with healthcare billing, reimbursement, and payer-provider processes. Experience...Remote workReimbursementContract workWork at office
- ...research, SCRI is redefining cancer care around the world. Payment Reimbursement Analyst The Payment Reimbursement Analyst is responsible for... ...financial integrity across the vendor payment lifecycle. It's a remote position based in the US; relocation assistance and visa...Remote workReimbursementRelocation package
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