Revenue Integrity Specialist

Responsibilities:

• Audit across all systems to ensure new provider and care center information is accurate.
• Ensure reimbursement by payer is accurate per payer contract agreements, government, and state rates by auditing payer processed claims.
• Conduct Care Center audits following the audit policy based on the number of providers on a 30/60/90/120 post implementation/go-live date.

Qualifications:

• High School Graduate with 3+ years of experience in a medical billing office required.
• Google Sheets/Microsoft Excel skills (e.g., pivot table, VLOOKUP, sort/filtering, and formulas) required.
• 3+ years payer contracts (language) and/or auditing payer payments required.

Benefits:

• Base pay range of $55,000.00-$60,000.00 with eligibility for annual bonus targeted at 10%.
• Benefits include medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs.
• Remote work with expense reimbursement for internet costs.