Payment Integrity Specialist

Job Summary

A company is looking for a Payment Integrity Specialist I who will work from home in Pennsylvania.

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 methods

Required Qualifications, Training, and Education

• High School Diploma or Equivalent (GED) required
• Minimum of 3 years of experience in healthcare required
• Ability to work in a home office environment with specific internet requirements