Revenue Integrity Specialist - 100% Remote

About the role

The Healthcare Revenue Integrity Specialist is 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.

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.
• 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

• 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.

Qualifications

• 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.

Skills

• Payment Posting Experience: Highly Desired.
• Medical Billing Certifications: Preferred.

Benefits

Exceptional paid time off policies that encourage and support life balance, including a winter break. 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.

Pay

$25.00-$29.00 per hour

Schedule

Full-time non-exempt direct hire position, remote anywhere in the United States.