Reimbursement Integrity Specialist

A company is looking for a Reimbursement Integrity Specialist (Remote).

Key Responsibilities

Reconcile payments from payors, identifying and analyzing discrepancies based on payer contracts

Investigate root causes of payment variances and document findings, including financial impacts and corrective actions

Maintain records of payment reconciliation outcomes and generate reports summarizing discrepancies and resolutions

Required Qualifications

Minimum of 2-3 years of experience in healthcare revenue cycle management, focusing on payment reconciliation

Familiarity with healthcare reimbursement methodologies and payer contract structures

Experience using revenue cycle management software and financial systems for reconciliation tasks

Proficiency in Microsoft Office Suite and relevant software for tracking and reporting

Ability to manage multiple priorities in a fast-paced environment while adhering to deadlines