[Hiring] Healthcare Revenue Integrity Specialist @Expressable

Role Description

The Healthcare Revenue Integrity Specialist is responsible for:

• Reviewing daily payment batches, reconciling them against bank deposits.
• Validating payer and claim accuracy.
• Supporting month-end close activities.
• Ensuring compliant documentation and supporting audit readiness.
• Identifying opportunities to improve payment integrity and revenue cycle accuracy.

Qualifications

• Associate’s or bachelor’s degree in accounting, finance, healthcare administration, or related field preferred.
• 2–3 years of experience in payment reconciliation, healthcare billing, or revenue cycle operations.
• Proficiency with EHR/RCM platforms (e.g., Candid, Availity, Waystar), Excel/Google Sheets, and payment posting systems.
• Strong attention to numerical accuracy, ability to interpret payer remittance advice, and comfort with variance analysis.
• Understanding of HIPAA, PCI, and healthcare payer requirements.
• Preferred: Experience in multi-state telehealth or large outpatient provider environment.
• Any Medical Billing/Coding Certifications.
• Any Payment Posting experience is highly desired.

Requirements

• Reconcile daily payment batches in Candid against bank deposits, resolving unapplied or unmatched items.
• Audit claim and payment data for accuracy, proper denial status, and correct payer assignment.
• Validate reimbursement amounts against contracted fee schedules and expected payments.
• Monitor deposit aging, adjustment codes, and denial patterns; escalate discrepancies or unusual trends.
• Maintain accurate reconciliation documentation and ensure audit readiness.
• Prepare and share denial feedback and reconciliation summaries to support process improvements.
• Verify reconciliations and reports for month-end close and financial accuracy.
• Assist with payment integrity projects, such as underpayment reviews and payer audits.
• Collaborate with Billing, Quality, and Compliance to refine processes and enhance revenue accuracy.
• Present reconciliation findings and payer insights in revenue review meetings.

Benefits

• Exceptional paid time off policies that encourage and support life balance, including a winter break.
• 401k matching to ensure our staff have what they need to enjoy their retirement.
• Health insurance options that ensure well-being for the whole person and their family.
• Company paid life, short-term disability, and long-term disability coverage.
• Remote work environment that strives for connectivity through professional collaboration and personal connections.