Payment Integrity Specialist

Responsible for reviewing and analyzing underpayment records and managed care contracts, the full-time Payment Integrity Specialist will ensure compliance with contract terms for billing and maximize reimbursement while working remotely. Key responsibilities Review and maintain underpayment records and managed care contracts to ensure accurate payments Develop and oversee standard operating procedures for claim adjudication and reimbursement analysis Facilitate communication and education regarding payment processing policies and managed care issues with internal departments and payors Required qualifications Associate degree in healthcare or business-related field, or a minimum of three years of prior healthcare revenue cycle experience Experience working with Excel spreadsheets is required Minimum of two years of prior healthcare experience with an understanding of healthcare reimbursement preferred Must meet standard productivity requirements prior to transitioning to a home-based position