Remote Payment Integrity Specialist Healthcare Claims
nTech Workforce
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
$45.09k - $67.64k
...Welcome to Ovation Healthcare! At Ovation... ...to be a dynamic, integrated professional services... ...subject matter specialists and operations executives... ...accurate clean claims, claim reviews... ..., tracking payments, and following up... ...periods of time Remote, Hybrid, or...Remote workClaimsHourly payFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hours- 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
$100k - $110k
...Payment Integrity Manager (RN) Fully remote, open to candidates located anywhere in the United States. Make a Meaningful Impact on Healthcare Quality, Compliance, and Financial Integrity Are you an... ...leadership role in ensuring claims accuracy, driving reimbursement...Remote workClaimsFull time- 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
$112.7k - $193.2k
...$112,700 - $193,200/yearJob Area: Healthcare EconomicsCompany: UnitedHealth GroupOptum... ...manager with strong knowledge of Payment Integrity, healthcare claims, and the concept development... ...You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area- ...Director, Clinical Payment IntegrityThe... ...Clinical Payment Integrity provides clinical... ...collaboration, and healthcare quality.This is an... ...clinical documentation, claims data, coding... ..., nurses, coding specialists, and other... ...capabilities.Fully Remote: This role is designated...Remote workClaimsWork at office
$73k - $125k
...conducting prepayment and post-payment clinical reviews of... .... The auditor reviews claims and medical records... ..., and Payment Integrity guidelines. This role... ...hospital-based care, healthcare audit, Payment Integrity... ...and meet deadlines in a remote work environment. Communication...Remote workClaimsFull timeContract workInternship- ...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 opportunity for remote work within all jobs posted...Remote workClaimsWork experience placement
- ...improve quality, and elevate the healthcare experience. Through advanced... ...— from member experience to payment integrity, provider quality, and plan... ...healthcare cost pressures, claims performance, and evolving... ...Where You’ll Work: This is a remote position with travel, and we...Remote workClaimsFull timeImmediate startFlexible hours
- Medix is seeking an RN-Coder Clinical Validation Reviewer to support payment integrity and clinical validation workflows in a hybrid setup. The role emphasizes reviewing medical records against claims to determine support for billed services, with documentation of clear...Remote jobClaimsWork at office
- ...Health is seeking an Associate to join our Payment Integrity team. This role supports process... ...improvement and issue resolution in the Oscar claim environment for both Oscar Insurance... ...Manager, Payment Integrity, this remote position is open to multiple metros and...Remote workClaims
- ...Inova Health System is seeking a dedicated Payment Integrity professional to join our team. This full-time, hybrid... ...expertise within a leading national healthcare system. The ideal candidate will analyze claims and provider reimbursements, identify discrepancies...Remote workClaimsFull time
$40.99k - $61.49k
...Welcome to Ovation Healthcare! At Ovation... ...to be a dynamic, integrated professional services... ...skilled subject matter specialists and operations... ...on outstanding claims, break down obstacles to payment, and accelerate cash... ...Work from home and remote location with a...Remote workClaimsHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from homeFlexible hours$41.6k - $57.6k
...Together.The Resolutions Specialist provides member issue resolution... ...managing and resolving healthcare insurance claims in a timely and accurate... ...detail, focusing on data integrity in support of quality organizational... ...ask you for any type of payment as part of consideration...Remote workClaimsFull timeWork at officeMonday to Friday- ...CorVel Corporation is seeking a Payment Integrity Analyst to review pre and post pay claim audits, applying CMS guidelines and client policies. This is a remote position with responsibilities spanning... .../LVN or RN) and a background in healthcare revenue cycle, with preference...Remote workClaims
- ...is hiring a Senior Analyst to join the Payment Integrity team. This role supports process improvement... ...and issue resolution in the Oscar claim environment for both the Oscar Insurance... ...Manager, Payment Integrity. This fully remote role is open to candidates nationwide...Remote workClaims
$49.6k - $74.41k
...Welcome to Ovation Healthcare! At Ovation... ...to be a dynamic, integrated professional services... ...subject matter specialists and operations... ...unpaid Medicare claims. This role involves... ...accounts and reconcile payments with Medicare... ...from home and remote location with a stable...Remote workClaimsHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from homeFlexible hours$17 - $18.15 per hour
...We recognize that healthcare requires a human touch... ...Patient Access Specialist champion. This... ...balances including payment plan options. The... ...assist with a clean claim rate.... ...Top Workplace for Remote Work 2024 Great Place... ...values of trust, integrity, loyalty and service...Remote workClaimsWork at officeLocal areaShift work$82.72k - $108.57k
Oscar Health is hiring an Associate to join the Payment Integrity team. This remote role supports process improvements and issue resolution within Oscar's claim environment, working cross-functionally to translate friction into actionable improvements. You will report...Remote jobClaims$18.65 - $19.9 per hour
...We recognize that healthcare requires a human touch... ...Patient Access Specialist is responsible for... ...point of service payments. These activities... ...assist with a clean claim rate including pre... ...Top Workplace for Remote Work 2024 ~... ...values of trust, integrity, loyalty and service...Remote workClaimsWork at officeLocal area$17 - $18.15 per hour
...healthy. We recognize that healthcare requires a human touch... ...balances including payment plan options. Explains... ...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...Remote workClaimsReliefWork at officeLocal area- ...has experience collaborating with external vendors in a healthcare claims or payment integrity environment, including implementation support, claim-... ...Professional Coder (CPC) with AAPC Certified Coding Specialist with AHIMA certifications Education: High School...ClaimsFull timePart timeWork experience placementWork at officeLocal areaWork from homeShift work
- ...& Gov't Programs Specialist Full Time 2A Tampa... ...07 About Avalon Healthcare Solutions:... ...critical to ensure our claim-edit configuration... ...environment of high-integrity performance and... ...position is eligible for remote work, but travel... ...claims editing, payment integrity, coding/...Remote workClaimsFull timeWork experience placementWork at officeFlexible hours
$82.72k - $108.57k
...We're hiring an Associate to join our Payment Integrity team. Oscar is the first health insurance... ...and issue resolution in the Oscar claim environment for both the Oscar Insurance... ...Integrity. Work Location: This is a remote position, open to candidates who reside...Remote workClaimsFull timeContract workWork at office- ...Inpatient Coding Specialist Gaylord Specialty Healthcare is a health system dedicated... ...Documentation Integrity Specialist.... ...Inpatient Prospective Payment System (PPS) to ensure... ...accurate and timely claim submission.... ...schedule (onsite and remote) after successful completion...Remote workClaimsFull time
$76k - $99k
...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 jobClaimsFull timeWork experience placementWork at officeFlexible hours$17 - $18.15 per hour
...We recognize that healthcare requires a human touch... ...Access Associate Specialist plays a critical... ...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 Place...Remote workClaimsWork at officeLocal area- ...through Friday with the opportunity for remote work Work Location: UAB St. Vincent's... ...and more What You Will Do The Revenue Integrity Specialist supports revenue optimization, regulatory... ...CPT, documentation review, and claim denial review. Review's documentation,...Remote workClaimsMonday to Friday
$25 - $30 per hour
The AR Follow-Up Specialist is responsible for... ...proactive payer outreach, claim status monitoring,... ...types.*This is a remote role. We are only... ...state-mandated payment rulesMonitor... ...succeed Boomerang Healthcare (BHC) is a multidisciplinary... ...#J-18808-Ljbffr Integrated Pain Management...Remote workClaimsFor contractorsWork at officeMonday to Friday- ...Position: Medical Insurance Reconciliation and Payment Integrity Specialist : Location: Auburn, AL Job Id: 137 # of Openings: 1 Lee... ...identifies discrepancies, researches unpaid or incorrectly paid claims, and works with billing, insurance companies, and internal...ClaimsWeekly payWork at office
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