Remote Payment Validation Specialist

Mosaic Life Care; Colorado; Remote; USD 70,000 - 90,000; Full time

Benefits offered by this job

Concierge services

Employee lounge

Wellness programs

Free parking

On-site and virtual health clinics

Job summary

Mosaic Life Care is seeking a Payment Validation Analyst to ensure accurate payments from payors under the supervision of the Director of Revenue Integrity. The role focuses on analyzing contractual underpayments, price discrepancies, and rebill projects to optimize revenue integrity across Epic-driven workflows.

The position requires a Bachelor's degree and 5 years of healthcare experience in hospital financial operations, CPT/HCPCS/ICD-10 coding knowledge, and Epic proficiency.

Responsibilities

• Analyze contractual underpayments and resolve daily encounters in Epic WQs.
• Identify root causes of payer reimbursements and implement corrective actions.
• Work on rebill projects to recoup underpayments.
• Prepare monthly measurement reports using Epic reports and present findings.
• Create and maintain contracts in Epic.
• Assist start-up process for new programs and identify reimbursable services.
• Research CPT, revenue codes, and charge master issues.

Education

Bachelor's Degree

High School Diploma

Tools

Epic Systems

Job description

Mosaic Life Care is seeking a Payment Validation Analyst to ensure accurate payments from payors under the supervision of the Director of Revenue Integrity. The role focuses on analyzing contractual underpayments, price discrepancies, and rebill projects to optimize revenue integrity across Epic-driven workflows.

The position requires a Bachelor's degree and 5 years of healthcare experience in hospital financial operations, CPT/HCPCS/ICD-10 coding knowledge, and Epic proficiency.