Healthcare Revenue Integrity Specialist
E
ExpressableHealthcare / Speech Therapy
Remote (anywhere in the United States)Full-TimeMiddle
Salary25 - 29 USD per hour
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Job Details
- Experience
- 2–3 years of experience in payment reconciliation, healthcare billing, or revenue cycle operations
- Required Skills
- Microsoft ExcelGoogle SheetsEHRHIPAA
Requirements
- 2–3 years of experience in payment reconciliation, healthcare billing, or revenue cycle operations.
- Proficiency with EHR/RCM platforms (e.g., Candid, Availity, Waystar).
- Proficiency with Excel and Google Sheets.
- Strong attention to numerical accuracy and variance analysis.
- Understanding of HIPAA, PCI, and healthcare payer requirements.
- Associate’s or bachelor’s degree in accounting, finance, healthcare administration, or related field preferred.
- Medical billing or coding certifications preferred.
- Experience in multi-state telehealth or large outpatient provider environment preferred.
- Demonstrated ability to investigate root causes and identify discrepancies.
- Ability to manage daily workflows and meet reconciliation deadlines with minimal oversight.
Responsibilities
- Reconcile daily payment batches in Candid against bank deposits, resolving unapplied or unmatched items.
- Audit claim and payment data for accuracy, proper denial status, and correct payer assignment.
- Validate reimbursement amounts against contracted fee schedules and expected payments.
- Monitor deposit aging, adjustment codes, and denial patterns, and escalate discrepancies.
- Maintain accurate reconciliation documentation and ensure audit readiness.
- Prepare and share denial feedback and reconciliation summaries to support process improvements.
- Verify reconciliations and reports for month-end close and financial accuracy.
- Assist with payment integrity projects, such as underpayment reviews and payer audits.
- Collaborate with Billing, Quality, and Compliance to refine processes and enhance revenue accuracy.
- Present reconciliation findings and payer insights in revenue review meetings.
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