Payment Integrity Specialist

Job Summary

A company is looking for a Payment Integrity Specialist I (work from home Pennsylvania resident).

Key Responsibilities

• Ensure full reimbursement is collected from payers
• Analyze patient claims to identify discrepancies between expected and actual reimbursement
• Appeal underpayments, overpayments, and denied claims through various communication methods

Required Qualifications, Training, and Education

• High School Diploma or Equivalent (GED) required
• Associate's Degree preferred
• Minimum of 3 years of experience in healthcare required