Remote Payment Integrity Specialist — Healthcare Claims
nTech Workforce
- Remote job
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 NASCO. Ideal applicants will have 3+ years of relevant experience and strong Excel skills. This mid-senior level contract position is perfect for detail-oriented individuals with a background in healthcare finance. #J-18808-Ljbffr nTech Workforce
- ...Payment Posting And Ar Specialist Prompt is revolutionizing healthcare by delivering highly automated and modern... ...discrepancies. Process remote bank deposits and... ...outstanding insurance claims. Preparing and... ...Contributing to revenue cycle integrity by supporting claim...Remote workClaimsLocal areaFlexible hours
$64.83k - $85.09k
...Oscar. We're hiring a COB Specialist to join our Payment Integrity team. Oscar is the first... ...medical and pharmacy claims. You will create new COB... ...Work Location: This is a remote position, open to candidates... ...Experience in a professional healthcare claims organization ~...Remote workClaimsFull timeContract workWork at office$78.52k - $83.72k
...Overview Cotiviti Healthcare is a leading provider of payment accuracy services... ...healthcare payment integrity, consider an... ...Payment Accuracy Specialist. The Senior Specialist... ...recoverable claims for the benefit of... ...candidate is selected. #LI-Remote#LI-KB1#senior...Remote workClaimsHourly payContract workWork at officeImmediate start$53.56k - $61.88k
...Overview Cotiviti Healthcare is a leading provider of payment accuracy services... ...healthcare payment integrity, consider an... ...Payment Accuracy Specialist. A Payment Accuracy... ...configures custom claim reviews to investigate... ...is selected. #LI-Remote#LI-KK1#junior...Remote workClaimsHourly payContract workWork at officeImmediate start- Molina Healthcare of Kentucky is seeking a Program Manager, Health Plan Payment Integrity (Claims & Recovery) to lead PI efforts remotely. You will oversee SAIs, ensure regulatory compliance, and collaborate with CMS/state teams to optimize pre-pay edits, post-payment...Remote jobClaims
- BDO is seeking an Experienced Associate in Healthcare Forensics to analyze and resolve payment inaccuracies across healthcare claims, supporting disputes, fraud, waste, and... ...reports, and work with cross-functional teams to improve payment integrity #J-18808-Ljbffr BDOClaims
$59.81k - $129.59k
...Molina Healthcare of Kentucky is hiring a Program Manager, Health Plan Payment Integrity (Claims & Recovery). This position is remote. Highly Qualified Candidates Will Have the Following -... ...Professional (CBAP) or Certified Coding Specialist (CCS) certification. • Project...Remote workClaimsFull timeTemporary workWork at office- ...Fully Remote HighFive Healthcare- Remote Description The Payment Posting Specialist is responsible for accurately and efficiently posting payments received from insurance... ...billing teams to resolve denied or partially paid claims. Notify management team of any underpayments...Remote workClaimsWork at office
- US Heart and Vascular is seeking a Remote Payment Posting Representative to accurately record... ...attention to detail and solid understanding of healthcare billing and reimbursement processes.... ..., and ensure proper routing of denied claims within the EMR system, contributing to...Remote jobClaims
- ...outcomes for consumers, patients, healthcare professionals, employers... ...accomplish together The Integrated ADM Specialist serves as the primary... ...straightforward and complex STD claims; to determine benefits due... ...: Primarily a professional remote environment. Physical Demand...Remote workClaimsTemporary workPart time
$69.45k - $135.42k
...Program Manager, Health Plan Payment Integrity (Claims & Recovery) based in the... ...for an experienced healthcare professional to lead payment... ...results. This is a full-time remote position in a highly regulated... ...CBAP) or Certified Coding Specialist (CCS) certification....Remote workClaimsFull timeTemporary workWork at office- ...Payment Integrity Drg Coding & Clinical Validation Analyst The Payment... ...and audits acute inpatient claims. Integrates medical chart coding... ...by supporting the Lifetime Healthcare Companies' mission and... ...Please note: The opportunity for remote work may be possible for all...Remote workClaimsWork experience placement
$94.9k - $130.5k
...our caring community The Payment Integrity Lead uses technology and data... ...and collect overpayment of claims. Contributes to the investigations... ...Payment Integrity and healthcare claims knowledge, intellectual... ...WORK STYLE: Remote, work at home. While this is...Remote workClaimsBi-weekly payFull timeTemporary workWork at officeWork from homeHome officeMonday to Friday$110k - $140k
...an experienced Senior Claims Analyst with deep expertise... ...skills. This is a remote role. Key... ...carriers regarding claim payment accuracy. ~ Prepare... ...auditing, or payment integrity, with direct exposure... ...CPC), Certified Coding Specialist (CCS), Certified Medical...Remote workClaimsFull timeContract work$80k - $86k
...Island. Be a part of our team of healthcare heroes and discover why... ...Workplace! Job Details *This is a remote role, but must reside in New... ...to reduce charge-related claim edits/rejections. Coordinates... ...Assists in developing revenue integrity training documentation and policies...Remote workClaimsWork at office- ...Health is seeking an Inpatient Clinical Coder to ensure accurate payment of medical claims and identify overpayments within a remote, USA-based role. You’ll work with Clinical, Claims, and Payment Integrity colleagues to review DRG-related issues and verify clinical...Remote jobClaims
- Cotiviti Healthcare seeks a Payment Accuracy Specialist to join our data mining team in the United States. You will audit client data and generate high-quality recoverable claims, applying CMS/NAIC guidelines and our Recovery Management System to identify over- and under...Remote jobClaims
$38k - $64k
## Payment Variance Specialist - Physician Revenue CycleApply: US - Remote (Any location): Full time: Posted Today: 46482**Job Family... ...assigned.* **Strong Physician Claims Payment Variance & A/R Follow-... ...operations, customer service, healthcare payor, provider, revenue cycle...Remote workClaimsFull timeContract workTemporary workWork at officeFlexible hours- ...Council Capital is a healthcare-focused private equity firm based in Nashville... ...driven platform, Alivia 360, delivers payment integrity and measurable financial... ...THE ROLE As a Payment Integrity Specialist, you live in the claims data. You audit payer claims across...Remote jobClaimsFull timeLive inShift work
- ...Recovery Specialist Katch is a leading healthcare technology company specializing in payment coordination. We partner with... ...to evaluate complex claims, apply judgment,... ...reimbursement, or payment integrity Knowledge of... ...position offers remote work flexibility for...Remote workClaimsWork at officeLocal areaFlexible hours
- ...Accounts Receivable Specialist The Accounts... ...managing re-billing, payment posting,... ...maintaining revenue integrity while upholding the... ...have plagued the healthcare industry since the... ...comprehensive corrected claims to various insurance... ...salaries ~ Remote/hybrid environment...Remote workClaimsFlexible hours
- ...Texas' resource for healthcare education,... ...Certified Coding Specialist working in our Ob... ...Longevity Pay (Monthly payments after two years... ...Revenue Cycle - Remote (following in person... ...Coding and Optum Claims Manager edits.... ...the security or integrity of the infrastructure...Remote workClaimsFull timeFor contractorsWork at office
- ...drive financial wellness in healthcare organizations so more patients... ...occasions. Values: Integrity - We do what's right, no matter... ...Summary: The Revenue Specialist will demonstrate behavior... ...potential loss of revenue due to claim payment issues. They must have...Remote workClaimsFull timeWork at office
- ...focused on reducing healthcare costs through... ...The Cash Posting Specialist is responsible for... ...insurance and patient payments for assigned infusion... ...revenue cycle integrity by accurately posting... ...Identify claim denials, underpayments... ...required. Location: Remote with limited...Remote workClaimsDaily paid
$40.99k - $61.49k
...Welcome to Ovation Healthcare! At Ovation... ...to be a dynamic, integrated professional services... ...skilled subject matter specialists and operations... ...payers on outstanding claims, break down obstacles to payment, and accelerate... ...from home and remote location with a stable...Remote workClaimsHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from homeFlexible hours$49.71k - $72.36k
...a Patient Access Specialist , you manage administrative... ...to reduce claim denials and... ...pays and applicable payments at the time of service... ...Preferred ~ Healthcare environment... ...needs. This is a Remote position. Employees... ...partnerships and integrations to expand our...Remote workClaimsWork experience placementLocal areaMonday to FridayShift work$17 - $18.15 per hour
...healthy. We recognize that healthcare requires a human touch... ...balances including payment plan options.... ...to assist with a clean claim rate. Responsible for... ...Monster Top Workplace for Remote Work 2024 Great Place... ...core values of trust, integrity, loyalty and service married...Remote workClaimsWork at officeLocal area$50k - $65k
...nutrition-driven healthcare at scale. Powered... ...Foodsmart seamlessly integrates dietary... ...a Revenue Cycle Specialist to be a hands-on... ...track, and resolve claims so we can secure... ...and help resolve payment issues. Support... ...Specialist Location: Remote, USA Base...Remote workClaimsFull timeLocal areaFlexible hours$40.99k - $61.49k
...Welcome to Ovation Healthcare! At Ovation... ...to be a dynamic, integrated professional services... ...subject matter specialists and operations executives... ...and unpaid claims reports to... ...needed to resolve for payment. Utilize multiple... ...: ~100% Remote ~ Expected to work...Remote workClaimsHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from homeHome officeFlexible hours$45.09k - $67.64k
...Welcome to Ovation Healthcare! At Ovation... ...to be a dynamic, integrated professional services... ...subject matter specialists and operations... ...timely accurate clean claims, claim reviews... ...and reconcile payments with secondary payers... ...from home and remote location with a stable...Remote workClaimsHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from homeFlexible hours
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