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
- 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 workClaims
- 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 workClaimsDaily paid
- Cambia Health Solutions is seeking a Payment Integrity Nurse I to perform post-service claims reviews, ensuring accurate... ...while working within a flexible remote model across certain western states... ...determinations and improve healthcare outcomes. #J-18808-Ljbffr Cambia...Remote jobClaimsFlexible hours
$27.5 - $33 per hour
...best team in mental healthcare. Thank you for taking... ...a certified Revenue Integrity Coding Specialist to join our Shared Services... ...pattern monitoring, claim scrubbing and payor... ...cycle with post-payment audits, pre-payment reviews... ...T hi s position is a remote role with the ability...Remote workClaimsHourly payFull timeTemporary work$25.75 - $29.75 per hour
Overview Cotiviti Healthcare is a leading provider of payment accuracy services... ...healthcare payment integrity, consider an opportunity... ...Payment Accuracy Specialist. A Payment... ...configures custom claim reviews to investigate... ...is selected. #LI-Remote#LI-KB1#junior #J-188...Remote workClaimsHourly payContract workWork at officeImmediate start- ...Health Solutions is seeking a Payment Integrity Nurse I to perform post service reviews of claims, ensuring accurate coding and... ...and an unrestricted RN license. Remote work is available within... ...a focus on accurate, ethical healthcare #J-18808-Ljbffr Cambia Health...Remote jobClaims
- ...define and execute the product strategy for our Facility Claim Review solutions within Optum Payment Integrity. You will own the product vision, roadmap, and... ...strategic vision with execution and cross-functional leadership. Remote work across the U.S. #J-18808-Ljbffr OptumRemote workClaims
- ...Rialtic, Inc. Atlanta or Remote About Rialtic Rialtic... ...health insurers and healthcare providers to run their... ...’s best‑in‑class payment accuracy product brings... ...insights from healthcare claims data and results.... ...focused. Values High Integrity - Do the right thing,...Remote workClaimsWork from homeHome office
$90k - $120k
Recruiter, Payment Integrity Services Job type: Full Time · Department: People... ...States; United States (Remote) About Alaffia & Our Mission... ...trickles down across the healthcare ecosystem, driving up costs... .... Alaffia is a new kind of claims operations partner for health...Remote workClaimsFull timeWork at officeFlexible hours3 days per week- ...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... ...There may be opportunities for remote work on all jobs posted by the...Remote workClaimsWork experience placement
$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- Cambia Health Solutions in the United States is hiring a Payment Integrity Nurse I to review post-service claims and ensure accurate coding within defined medical policies. The role supports patient care while maintaining compliance and high-quality review standards. You...Remote jobClaimsWork from home
$87.7k - $157.8k
..., cost avoidance, and payment accuracy. You will lead... ...experience in Payment Integrity, including readmission... ...Bachelor’s degree in Healthcare Administration, Business... ...working with payer claims systems preferred. Demonstrated... ...approach to work with remote, hybrid, field or...Remote workClaimsFull timePart timeWork at officeFlexible hours$98.2k - $163.6k
## Business Analytics Advisor, Payment Integrity - Cigna Healthcare - RemoteApplyremote type: Remotelocations: United States Work at Home: Chattanooga... ..., and technical modernization efforts to improve claim accuracy, scalability, and operational efficiency.The ideal...Remote jobClaimsWork from home$21 - $25 per hour
...enterprise revolutionizing healthcare by delivering highly... ..., process-driven Payment Posting and AR Specialist to join our... ...accurately posting insurance claims and patient payments... ..., and revenue cycle integrity audits. Key... ...Location Context: 100% remote-first operational...Remote workClaimsHourly payFull timeHome officeFlexible hours- ...Senior Product Manager for Professional Claims Review - Payment Integrity. You will define strategy, own... ...measurable client value. This role offers remote work anywhere in the U.S. with in-... ...will work at the intersection of healthcare reimbursement and AI, turning complex...Remote jobClaimsWork at office
- Cambia Health Solutions is seeking a Payment Integrity Nurse I to review claims and medical records for accurate payments. The role supports post service review and coding guidelines within the Post Service Claim Review team. The position requires clinical experience,...Remote jobClaimsFlexible hours
- ...Payment Integrity Specialist Council Capital is a healthcare-focused private equity firm based in Nashville, Tennessee, managing over $350 million in committed... ...a Payment Integrity Specialist, you live in the claims data. You audit payer claims across multiple lines...ClaimsLive inShift work
$20 - $24 per hour
...a rapidly evolving healthcare landscape. Our mission... ...delivers a fully integrated platform designed to... ...oriented Revenue Cycle Specialist to join our growing... ...correctly for successful claim submission and payment. ~ Communicate... ...Work Location: Remote: Colorado (Denver...Remote workClaimsHourly payFull timeWork at office- ...dedicated Revenue Cycle Specialist to manage and streamline various payment processes and... ...insurance, managing claims, handling customer... ...inquiries. Data Integrity: Correct data... ...+ years within the Healthcare Revenue Cycle field. ~ Remote work experience....Remote workClaimsMinimum wageTemporary workWork experience placementLocal area
- ...Certified Coding Specialist What we do here... ...' resource for healthcare education, innovation... ...Pay (Monthly payments after two years of... ...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
$21 - $25 per hour
Role Description The Payment Posting and AR Specialist is responsible for managing payment... .... ~Process remote bank deposits and manually... ...on outstanding insurance claims. ~Preparing and submitting... ...Contributing to revenue cycle integrity by supporting claim resubmissions...Remote workClaimsFull timeLocal areaFlexible hours- ...Access Associate Specialist Ensemble is a leading... ...We recognize that healthcare requires a human... ...role ensures data integrity, regulatory... ...collections, and first-pass claim rates. Serves as... ...including payment plan options. The... ...Top Workplace for Remote Work 2024 Great...Remote workClaimsWork at officeLocal area
$19 - $21 per hour
...Description The Conditional Payment Specialist is responsible for working with... ...the highest quality and integrity and all work is in full compliance... ...state mandates. This is a remote full-time position with a... ...to track status of each claim. ~Respond to internal and...Remote workClaimsFull timeFor contractorsMonday to Friday$80k - $110k
...The Payment Integrity team is a group of innovative thinkers sitting at the... ...Clover's provider Network, Claims, and Tech teams. The Payment... ...you have access to quality healthcare. Mental Well-Being : We... ...Additionally, we embrace a remote-first culture that supports...Remote workClaimsFull timeWork experience placementWork at officeFlexible hours$22 - $26 per hour
...Accounts Billing Specialist At STRIDE Community... ...just providing healthcare—we're committed... ...: Hybrid: 2 days remote, 3 days onsite at... ...Bill and collect payments for services... ...coding, billing, claim denials, and payment... ...ensure a successful integration into our team, we...Remote workClaimsHourly payLocal areaRelocationMonday to FridayFlexible hours- ...that’s transforming mental healthcare. Founded by... ...The Provider Enrollment Specialist is responsible for enrolling... ...accurate participation status, claims payment, and provider directory integrity. This role coordinates... ...company contribution ~ Remote work schedule ~ Opportunity...Remote workClaimsHourly payPrivate practiceWork at office
$55k - $60k
...Manager, Revenue Integrity and/or Sr. Manager... ...Revenue Integrity Specialist is responsible for... ...of reimbursement/payment audits in compliance... ...auditing payer processed claims Conduct Care... ...Requirements (for remote workers only, not... ...We understand that healthcare is local and we...Remote workClaimsContract workWork at officeLocal areaWork from homeHome office$19 - $23 per hour
...a national leader in healthcare revenue cycle management... ...focus on optimizing payments, allowing clients to focus... ...on our core values: Integrity, Teamwork, Continuous... ...experience (In-office or Remote) ~ High School... ...with medical billing/claims processing Time management...Remote workClaimsHourly payWork at officeLocal areaMonday to FridayAfternoon shift
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