Revenue Integrity Specialist

🕒 Julho 2

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Expressable

SiteLinkedInTodas as Vagas

11 - 50 funcionários

🏥 Saúde

⚕️ Seguro de Saúde

🧘 Bem-estar

💰 $15.000.000 Series A em 2022-02

Healthcare • Healthcare Insurance • Wellness

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Descrição

• 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; escalate discrepancies or unusual trends. • 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.

🎯 Requisitos

• Education/Experience: Associate’s or bachelor’s degree in accounting, finance, healthcare administration, or related field preferred. • Experience: 2–3 years of experience in payment reconciliation, healthcare billing, or revenue cycle operations. • Technical Skills: Proficiency with EHR/RCM platforms (e.g., Candid, Availity, Waystar), Excel/Google Sheets, and payment posting systems. • Analytical Skills: Strong attention to numerical accuracy, ability to interpret payer remittance advice, and comfort with variance analysis. • Regulatory Knowledge: Understanding of HIPAA, PCI, and healthcare payer requirements. • Preferred: Experience in multi-state telehealth or large outpatient provider environment. Any Medical Billing/ Coding Certifications. Any Payment Posting experience is highly desired.

🏖️ Benefícios

• Exceptional paid time off policies that encourage and support life balance, including a winter break. • 401k matching to ensure our staff have what they need to enjoy their retirement • Health insurance options that ensure well being for the whole person and their family • Company paid life, short-term disability, and long-term disability coverage • Remote work environment that strives for connectivity through professional collaboration and personal connections