Remote Payment Validation & Reimbursement Specialist

Mosaic Life Care; Heber (UT); Remote; USD 65,000 - 95,000; Full time

Job summary

Mosaic Life Care in the United States is seeking a Payment Validation Analyst to ensure accurate payor payments and to resolve underpayments. This role reports to the Director of Revenue Integrity and requires deep knowledge of payer reimbursements, CPT/HCPCS coding, and fee schedule impacts.

The position involves analyzing contractual underpayments, coordinating with CDM and Revenue Integrity teams, and preparing monthly Epic-based performance reports.

Job description

Mosaic Life Care in the United States is seeking a Payment Validation Analyst to ensure accurate payor payments and to resolve underpayments. This role reports to the Director of Revenue Integrity and requires deep knowledge of payer reimbursements, CPT/HCPCS coding, and fee schedule impacts.

The position involves analyzing contractual underpayments, coordinating with CDM and Revenue Integrity teams, and preparing monthly Epic-based performance reports.