Revenue Integrity Specialist - 100% Remote

ExpressableUSA, USA
$25 - $29Remote

About The Position

We are seeking a Healthcare Revenue Integrity Specialist who will be responsible for reviewing daily payment batches, reconciling them against bank deposits, validating payer and claim accuracy, and supporting month-end close activities. The position ensures compliant documentation, supports audit readiness, and identifies opportunities to improve payment integrity and revenue cycle accuracy.

Requirements

  • Associate’s or bachelor’s degree in accounting, finance, healthcare administration, or related field preferred.
  • 2–3 years of experience in payment reconciliation, healthcare billing, or revenue cycle operations.
  • Proficiency with EHR/RCM platforms (e.g., Candid, Availity, Waystar), Excel/Google Sheets, and payment posting systems.
  • Strong attention to numerical accuracy, ability to interpret payer remittance advice, and comfort with variance analysis.
  • Understanding of HIPAA, PCI, and healthcare payer requirements.
  • Candidates with payment posting experience and have various medical billing certifications will get first review.
  • Eligible to work in the United States.
  • Ability to remain seated for extended periods, operate standard office equipment, communicate effectively via video and audio platforms, and review electronic information.

Nice To Haves

  • Experience in multi-state telehealth or large outpatient provider environment.
  • Any Medical Billing/ Coding Certifications.
  • Any Payment Posting experience is highly desired.

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; 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.

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
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