Provider Relations & Payment Integrity Specialist
Neara
Alaffia Health is seeking a Payment Integrity Operations Associate to own end-to-end audit lifecycle, manage provider communications, and collaborate with clinical reviewers, audit managers, and product teams. You will drive timely, compliant, high-quality audit outputs in a fast-paced environment. The role emphasizes accurate documentation, strong communication, and customer-centric provider interactions, with opportunities to impact throughput and services for health plans across the United #J-18808-Ljbffr Neara
- A leading healthcare firm is seeking a Payment Integrity Specialist for a fully remote role. Candidates must be based in EST or CST and comfortable with EST hours. Responsibilities include analyzing medical records, handling claims, and utilizing systems like Facets and...SuggestedRemote jobContract work
- PacificSource is seeking a Senior Fraud, Waste and Abuse Specialist to lead and advance our Payment Integrity and FWA programs. You will serve as the organization... .... Candidates should have 5+ years in FWA or related fields, a bachelor’s degree in a relevant area, and...Suggested
- Senior Specialist, Talent Acquisition at nTech Workforce Title: Payment Integrity Specialist Location: 100 % Remote, but Candidates must be based in EST or CST and must... ..., and determining if additional documentation provided by healthcare providers warrants a change in...SuggestedContract workRemote work
$91.91k - $120.63k
...We're hiring an Associate, Itemized Bill Review to join our Payment Integrity team.Oscar is the first health insurance company built around... ...claims payment issues from data mining, process monitoring, etc., provide scoping and action steps needed to remediate the issueRespond...SuggestedFull timeContract workWork at officeFlexible hours- ...Payment Processing Asst. Unit Manager Job Summary Asst. Unit Manager Payment Processing... ...plans in place for issues Play an integral role in continuous improvement of reporting... ...on experience & nuances of operations related to Payment processing Excellent people...SuggestedFlexible hours
$55k - $60k
...of the Sr. Manager, Revenue Integrity and/or Sr. Manager, Revenue Optimization... ..., the Revenue Integrity Specialist is responsible for complete,... ...processing of reimbursement/payment audits in compliance with... ...across all systems to ensure new provider and care center information...Contract workWork at officeLocal areaRemote workWork from homeHome office$125k - $250k
...BANKINGOur mission is simple: provide a global transaction banking... ..., foreign exchange and payments enabling international treasury... ...diverse Treasury and Payments specialists helping our clients solution... ...payment rails, ERP/TMS integrations, and working capital optimization...Full timeTemporary workPart time$84.2k - $134.6k
...seeking to hire a Partner Integration Specialist. Reporting to the Manager of... ...weekend work. Responsibilities Provide comprehensive... ...as any other discretionary payment or compensation or benefit... ...time, including for reasons related to individual performance,...Hourly payWork at officeLocal areaRemote workWeekend work$36.3 - $39.93 per hour
...Your Success Profile Who You Are As a Specialist, Payments Operations, you will help ensure money... ...suggesting better ways of working, and providing feedback on processes, tools, and... ...done well with a positive attitude. Integrity - Simply put, do what you say and say...Hourly payCasual workWork at officeLocal area$27.5 - $33 per hour
...seeking a certified Revenue Integrity Coding Specialist to join our Shared Services... ...revenue cycle with post-payment audits, pre-payment reviews... ...allows clinicians to focus on providing exceptional patient care.... ...downstream response to coding related denials and exclusions....Hourly payFull timeTemporary workRemote work- Ventra Health is seeking a Revenue Integrity AR Specialist to analyze payer payment variances across Radiology, Anesthesia, and Emergency/Hospital Medicine. You will identify false positives, remove variances, and resolve underpayments adhering to each client’s payer contracts...
- Bybit is seeking a Regional Business Development Specialist to drive the payments ecosystem globally, focusing on merchant growth, PSP integrations, and strategic partnerships across MENA and emerging corridors. The role requires deep payments/fintech experience, strong...Remote work
- ABOUT THIS POSITION The Revenue Integrity Specialist position is responsible for following procedures... .... Collaborate with internal teams, providing feedback from record reviews to... ...Waystar helps providers simplify healthcare payments and yield powerful results throughout...Live outLocal areaRemote workFlexible hours
- ...currently, I am looking for a EDI Integration Specialist (Not Developer) for our... ...partners, payers, and providers to troubleshoot and resolve... ...Information Technology, or related field (or equivalent experience... ...claims, eligibility, payments, and prior authorizations....Contract workRemote work
- Celcius Cooling is seeking a detail‑oriented accounting professional to verify vendor invoices, process payments, and manage expense allocations in a high‑integrity finance role. You will enter card receipts, prepare monthly statements, and support budget variance analysis...
- South Brooklyn Health, a long-standing NYC hospital, seeks a cashier with accuracy and integrity to support patient and financial operations. Under supervision, you will handle payments, receipts, and daily cash tasks. Typical responsibilities include accepting cash and...
$90k - $115k
...Culture and Legal teams make sure we provide a highly ethical working environment where... ...Why this job’s a big deal:The Workday Integration Specialist is responsible for supporting... ...non-technical end-users on HR systems-related questions, tasks, projects and reports...Full timeWork experience placementSummer workWork at officeRemote workFlexible hours$100k - $138k
About the TeamThe New Verticals Partner Integrations team develops innovative technological solutions... ...and non-technical stakeholders to provide guidance and support.Define gaps in our... ...below and is determined based on job-related factors including, but not limited to, skills...Hourly payWork at officeLocal areaRemote workFlexible hours- A healthcare technology firm is seeking an experienced Healthcare IT / EMR Integration Specialist to support the implementation and optimization of healthcare applications and interoperability systems. The ideal candidate will have over 7 years of experience with EMR systems...Remote work
- ...Strivant Health is seeking a Payment Posting Specialist for remote-eligible employment in the United States. You will apply payments, balance deposits, and reconcile postings to physician accounts receivable, while auditing and correcting any discrepancies. The role...Remote work
- ...eSentio provides technology consulting to some of the largest and most technically advanced... ...their expectations in service, integrity, value, and expertise. Our teams of consultants... ...an Senior Legal Technology Integration Specialist who will report to the Director, DMS and...Remote work
- ...you detail-oriented and experienced in payment processing? HRRMC’s Patient Financial Services... ...is looking for a Payment Posting Specialist to join our team. This is an exciting opportunity... ...much more. Our mission is clear: to provide high-quality, patient-centered care...Work at office
$85k - $115k
...Group Details Tradeweb is seeking an Integration Specialist to join our Market Support department.... ..., and troubleshooting procedures. Provide ongoing training and guidance on new... ...electronic trading, production support, or a related role. Bachelor’s degree or...Full timeWork at officeImmediate startFlexible hours- ...Payment Processing Specialist The Department of Social Services (DSS) is comprised of the administrative... ...fighting poverty and income inequality by providing New Yorkers in need with essential... ...centered activities in an area related to the duties described above; or 2....Work at officeRemote workShift work
- ...Heart of the Rockies Regional Medical Center (HRRMC) is seeking a detail-oriented Payment Posting Specialist to join our Patient Financial Services team. You will post payments from insurance and patients for hospital and clinic systems, including ERA processing and credit...
- ...(physical & digital) for our Payments business within 1st and 3rd party... ...agency partners, you will provide project management support... ...external partners, laddering into integrated 360 campaigns (content,... ...Marketing, Communications or other related degree JPMorganChase, one of...Work at office
- The NYC Department of Social Services is seeking a COMMUNITY COORDINATOR to manage and oversee payments and assist clients. The role requires strong analytical and organizational skills, with experience in community-centered activities. Key responsibilities include processing...
- LifeStance Health is seeking a certified Revenue Integrity Coding Specialist to join our Shared Services team. The role focuses on CPT/ICD-10 guidelines, payor policies, and denials prevention to support revenue cycle management in a remote US-based capacity. The ideal...Remote job
- A technology solutions provider is seeking a Technical Solutions Cons III for an entry-level contract role in the Kennesaw / Cartersville area, Georgia. The position involves calibrating, integrating, and troubleshooting Indigo presses, ensuring high customer quality....Contract work
- ...US-Texas, field based Role Description Integration Specialist , you will drive the adoption,... ...doctors, staff, and internal audiences. Provide technical assistance on software usage... ...experience in dental, orthodontic, or related health (incomplete). Strong interpersonal...Hourly payTemporary workInternshipWork at officeLocal areaFlexible hoursNight shift
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