Revenue Integrity Specialist

Job Summary

A company is looking for a Revenue Integrity Specialist to manage reimbursement and payment audits.

Key Responsibilities

• Conduct audits to ensure accuracy of provider and care center information and reimbursement by payer
• Track and report outcomes of payer audits and assist in maximizing cash flow
• Collaborate with internal teams and external partners to drive efficiency and resolve payment issues

Required Qualifications

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