Revenue Integrity Specialist

Job Summary

A company is looking for a Revenue Integrity Specialist to manage reimbursement audits and enhance revenue opportunities.

Key Responsibilities

• Conduct audits of payer processed claims to ensure accurate reimbursement
• Perform post-implementation Care Center audits based on established schedules
• Assist in leading strategic initiatives to improve operational efficiency and revenue outcomes

Required Qualifications

• High School Graduate preferred
• Advanced Microsoft Excel skills, including pivot tables and VLOOKUP
• 3+ years of experience with payer contracts and auditing payments
• Experience with Trizetto EOB resolve tool or similar contract management software
• 3+ years of experience in a medical billing office preferred