Remote Senior Payment Integrity Professional

Job ID: Available for Members

Location: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming

Compensation: To Be Discussed

Staff Reviewed: Fri, Oct 11, 2019

Job Category: Insurance

Telecommute Level: Occasionally

Travel Requirements: Field Travel Required, Some Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A health insurance company needs applicants for an opening for a Remote Senior Payment Integrity Professional.

Core Responsibilities of this position include:

  • Contributing to overall cost reduction
  • Increasing the accuracy of provider contract payments
  • Ensuring correct claims payment

Applicants must meet the following qualifications:

  • Possible travel up to 25%
  • 5 years work experience reading and interpreting claims
  • Experience with Medicaid products and compliance requirements
  • Skilled in data and/or situational analysis
  • Strong attention to detail
  • Can work independently and determine appropriate courses of action