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
- Senior Specialist, Talent Acquisition at nTech Workforce Title: Payment Integrity Specialist Location: 100 % Remote, but Candidates must be based in EST or... ...Responsibilities Work with a leading healthcare payer within their... ...warrants a change in claim payment. This is a non-...Remote workClaimsContract work
- ...Job Summary We are seeking an experienced Payment Integrity Specialist to support healthcare claims accuracy, payment validation, and operational improvement initiatives across complex healthcare environments. This role is responsible for managing and coordinating...Remote workClaims
- ...Job Title: Payment Integrity Project Specialist Job ID: 26-02533 Location: Grand Rapids, MI (100% Hybrid (Onsite Cadence: Tuesday, Wednesday... ...W2 contract TECHNICAL SKILLS Must Have Claims/Healthcare Influencing role Project management of...Remote workClaimsContract work
- ...world-class academic healthcare system, UChicago Medicine... ..., as a Revenue Integrity Specialist in the Lab Administrationdepartment... ...could delay or deny claims. It also monitors... ...APC (Ambulatory Payment Classifications)... ...pm Work Location: Remote Unit/Department: Laboratory...Remote workClaimsFull timeFor contractorsWork at officeLocal areaWork from homeShift workDay shift
- A leading healthcare solutions firm seeks a Payment Integrity Supervisor to oversee daily operations of the payment integrity team. Responsibilities... ...on improving service delivery. This remote position requires strong experience in claims processing and excellent communication...Remote jobClaimsDaily paid
$83.25k - $155.51k
Molina Healthcare is seeking a lead-level Business Analyst for Payment Integrity activities in Miami, Florida. This role involves partnering with leadership to drive financial... ..., strong analytical skills, and expertise in claims coding. The position offers a competitive...Remote jobClaims$69.38k - $92.28k
...Health Care is seeking a skilled data analyst to support payment integrity and analyze healthcare claims data. This position is crucial for uncovering cost... ...in SQL and modern data tools. The role allows for remote work, but applicants must reside in New York or Vermont...Remote jobClaims$83.25k - $155.51k
Molina Healthcare seeks a Lead Analyst for health plan payment integrity activities in Atlanta, GA. The role includes managing operational projects, analyzing data... ...experience in managed care, strong knowledge of claims coding, and the ability to lead projects independently...Remote jobClaims- Molina Healthcare in Scottsdale, Arizona, is looking for a Lead Analyst to support health plan payment integrity activities. You will drive health plan financial performance through operational... ...experience, strong knowledge of claims coding and regulations, and excellent...Remote jobClaims
$28.27 - $50.48 per hour
A healthcare organization in San Antonio seeks a Payment Integrity Coding Consultant to ensure medical coding accuracy and compliance... ...offers the flexibility to work remotely from anywhere in the U.S.... ...coding expertise, and tracking claims. Competitive hourly pay ranges...Remote jobClaimsHourly pay- A healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced...Remote jobClaims
- ...innovative company that puts the “care” back in healthcare! At KabaFusion, our patients come... ...Medical Group payers while managing claims resolution and refund processing. The... ...payers. 2. Escalate credits to Level II Payment Integrity/Refund Representative, Sr. Payment...ClaimsContract workTemporary workWork at office
$83.25k - $155.51k
Molina Healthcare is seeking a Lead Analyst for health plan payment integrity in Columbus, Ohio. The role involves managing operational initiatives and analyzing claims data to improve financial performance and compliance. Candidates should have at least 4 years of business...Remote jobClaims- Molina Healthcare is seeking a Lead Business Analyst to enhance health plan financial performance. The role involves managing operational initiatives for payment integrity and provider claims accuracy. The ideal candidate has over 4 years of experience in a managed care...Remote jobClaims
- Molina Healthcare is seeking a Lead Analyst in Austin, Texas. This role involves providing critical support for payment integrity activities to enhance financial performance. You will partner with... ...and lead efforts in improving claim payment accuracy while ensuring compliance...Remote jobClaims
$83.25k - $155.51k
Molina Healthcare is looking for a lead level Business Analyst to support health plan payment integrity activities in Cincinnati, Ohio. The ideal candidate... ...managed care regulations, claims processing, and strong... ..., with the flexibility of remote work options. #J-18808-...Remote jobClaims- Molina Healthcare is seeking a Lead Business Analyst in Phoenix, Arizona, to provide oversight on health plan payment integrity activities, partnering with members and stakeholders to enhance... ...compliance initiatives, analyzing claims data, and making impactful recommendations...Remote jobClaims
$24.2 - $36.3 per hour
...an AI-first, platform-based healthcare technology company, committed... ...care by preventing inaccurate payments and reducing overall waste in... ...for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2 certified... ...prevent and recover improper claim payments. This role performs...Remote workClaimsFull timeContract workVisa sponsorship- Signature Performance is seeking a Payment Integrity Analyst to work remotely in the United States. This role focuses on preventing overpayments and ensuring compliance within healthcare claims, involving responsibilities such as leading audits, developing claims editing...Remote jobClaims
$83.25k - $155.51k
Molina Healthcare is seeking a Lead Analyst to support health plan payment integrity activities. The candidate will manage operational projects to ensure compliance with regulatory requirements and improve claim payment accuracy. The ideal candidate will have extensive...Remote jobClaims- ...Payment Integrity Product Development Specialist (Skilled Nursing Facility Or Snf Sme) At MedReview, our mission... ...accountability, and clinical excellence to healthcare. As such, we are a leading... ...as needed. Define and validate claim selection logic, risk indicators and...Remote workClaims
$83.25k - $155.51k
...analyst support for health plan payment integrity activities. Partners with... ...(PI) and provider claims accuracy. Makes recommendations... ...Classification of Diseases (ICD), Healthcare Common Procedure Coding... ...(CBAP) or Certified Coding Specialist (CCS) certification....Remote jobClaimsTemporary workWork experience placementWork at office$120k - $130k
...data types such as structured claims data, free text, documents... ...for the next generation of payment integrity solutions. Create custom... ...+ years of Data Science and Healthcare Insurance Payment Integrity... ...to highlight: ~ Flexible remote and hybrid working options...Remote workClaimsPermanent employmentFull timeApprenticeshipInternshipFlexible hoursShift work- ...solutions and services that help healthcare companies and agencies... ...waste, and abuse and ensure payment integrity. Codoxo helps clients manage... ...Mining Auditor performs medical claim audits to identify overpaid... ...a team environment ~ Remote Work Requirements: To ensure...Remote workClaimsContract workWork experience placementWork at officeLocal areaWork from homeHome office
- ...Review & Recovery program within Payment Integrity. Manages Itemized Bill... ..., and post payment clinical claim reviews to ensure accurate reimbursement... ...'s Degree in Nursing, Healthcare Administration or similar... ...Whether you are working remote or in the office, employees...Remote workClaimsCasual workWork at office
- Cotiviti is seeking a Senior Sales Executive for remote work to drive sales of its Pharmacy Claim Editing and Payment Accuracy solutions in the United States. Candidates should have a strong background in healthcare sales, excellent relationship management skills, and...Remote jobClaims
$80k - $90k
6 Degrees Health is hiring a Payment Integrity Appeals RN to join their team. This remote position involves reviewing provider appeals related to claim determinations and ensuring compliance with regulations. The ideal candidate will have experience in claims review and...Remote jobClaims- Team8 Inc. is seeking a Payment Accuracy and Concept Lead to develop audit concepts in healthcare using the Bluespine platform. This role... ...billing errors and fraudulent claims while collaborating with... ...insured companies. This position is remote within the United States. #J-1...Remote jobClaims
$26.44 - $36.06 per hour
...markets they serve. We help healthcare organizations build innovation... ...enterprise. The Coding Integrity Specialist will be responsible for executing... ...is initiated before the claim is rebilled to the insurance... ...tion #LI-CM1 #LI-Remote The estimated pay range for...Remote workClaimsHourly payPermanent employmentWork at officeLocal areaImmediate startFlexible hoursDay shift- ...Denial Prevention Specialist Software Guidance... ...of our premier Healthcare clients in Weatherford... ...is primarily a remote position, however... ...research, resolve claim denials and appeals... ...while identifying payment trends in an effort... ..., and quality and integrity in everything we...Remote workClaimsContract workWork at office
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