Remote Revenue Integrity Analyst – Billing & Reimbursement

Remote Jobs; Fort Myers (FL); Remote; USD 31,000 - 41,000; Full time

Job summary

Talentify in Fort Myers, FL is seeking a healthcare billing specialist to resolve billing issues and optimize reimbursements across multiple payers. You will use Craneware Online and EPIC WQ workflows to ensure proper bundling/unbundling of charges and applicable modifiers, aiming for maximal reimbursement while complying with billing rules.

Collaborating with BO, HIM and ADT teams, you will communicate results in daily interactions and monthly meetings, staying current on payer bulletins and

Qualifications

• Bachelor degree or higher preferred; 2 years post-high school in clinical, financial, or coding program.
• Minimum 3 years in healthcare, hospital billing, coding, or related reimbursement roles.
• Experience with third-party payer billing and CPT/HCPCS coding.
• Knowledge of APC and reimbursement regulations.
• Preferred coding certification.

Responsibilities

• Resolve billing issues and optimize reimbursement.
• Use Craneware Online and EPIC WQ workflows.
• Ensure correct bundling/unbundling of charges and modifiers.
• Communicate with BO, HIM and ADT to resolve payer disputes.
• Keep current on payer bulletins and APC payment changes.

Skills

Healthcare billing

Coding knowledge

Attention to detail

Education

Bachelor degree or higher preferred

2 years post high school in clinical/financial/coding

Tools

Craneware Online

EPIC WQ workflows

Job description

Talentify in Fort Myers, FL is seeking a healthcare billing specialist to resolve billing issues and optimize reimbursements across multiple payers. You will use Craneware Online and EPIC WQ workflows to ensure proper bundling/unbundling of charges and applicable modifiers, aiming for maximal reimbursement while complying with billing rules.

Collaborating with BO, HIM and ADT teams, you will communicate results in daily interactions and monthly meetings, staying current on payer bulletins and