Revenue Integrity Specialist

🕒 July 2

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Expressable

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

💰 $15M Series A on 2022-02

Healthcare • Healthcare Insurance • Wellness

Expressable is an online speech therapy service that offers live, 1-on-1 sessions with experienced speech therapists from the convenience of home. Catering to individuals of all ages, Expressable focuses on a range of communication needs, including speech delay/disorder, language disorder, early language development, autism spectrum disorder, and social issues. Clients are matched with therapists who provide custom treatment plans and ongoing support. With an emphasis on practice at home, Expressable delivers research-based, flexible, and effective speech therapy designed to aid swift progress in communication skills.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

• 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