Revenue Integrity Specialist - 100% Remote

1. About Our Client:The organization operates in the healthcare sector, focusing on virtual speech therapy services to improve access to care. It addresses challenges in care delivery by providing parent-focused intervention and an e-learning platform with home-based modules developed by clinical experts. Since its inception in 2019, the program has served thousands of clients and aims to empower caregivers to support speech therapy integration in daily life, promoting better communication outcomes.2. About the Opportunity:The Healthcare Revenue Integrity Specialist role is responsible for ensuring accuracy and compliance in payment processing within the revenue cycle. This role contributes by reviewing and reconciling payment batches, validating payer and claim data, supporting month-end financial close activities, and maintaining documentation for audit readiness. The position identifies opportunities to improve payment integrity and enhances revenue accuracy, impacting the organization’s financial operations and compliance.3. Responsibilities:• Reconcile daily payment batches against bank deposits, resolving unapplied or unmatched items• Audit claim and payment data for accuracy, denial status, and correct payer assignment• Validate reimbursements against contracted fee schedules and expected payments• Monitor deposit aging, adjustment codes, and denial trends; escalate discrepancies• Maintain accurate reconciliation documentation and support audit readiness• Prepare denial feedback and reconciliation summaries to aid process improvements• Verify reconciliations and reports for month-end financial close• Assist with payment integrity projects such as underpayment reviews and payer audits• Collaborate with Billing, Quality, and Compliance teams to refine processes• Present reconciliation findings and payer insights in revenue review meetings4. Requirements:• Associate’s or bachelor’s degree in accounting, finance, healthcare administration, or related field preferred• 2 to 3 years of experience in payment reconciliation, healthcare billing, or revenue cycle operations• Proficiency with EHR/RCM platforms (e.g., Candid, Availity, Waystar), Excel or Google Sheets, and payment posting systems• Strong attention to numerical accuracy and ability to interpret payer remittance advice• Understanding of HIPAA, PCI, and healthcare payer regulations• Preferred: Experience in multi-state telehealth or large outpatient provider settings• Preferred: Certifications in Medical Billing & Coding and payment posting experience5. Pay Range and Compensation Package:• Target pay rate: $25.00 to $29.00 per hour6. Benefits & Perks:• Paid time off policies including winter break• 401k matching program• Health insurance options for employees and their families• Company-paid life, short-term disability, and long-term disability coverage• Remote work environmentEqual Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.Note:RemoteHunter is not the Employer of Record (EOR) for this role. Our purpose in this opportunity is to connect exceptional candidates with leading employers. We help job seekers worldwide discover roles that match their goals and guide them to complete their full application directly through the hiring company’s career page or ATS.