Insurance Payment Integrity Specialist

N/A, OFFSITE

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Type: Contract

Experience: 0

Category: Healthcare

Contractor Work Model: Remote

Brand: System One

Shift: On-Site

Job ID: 344599

Date Posted: 01/06/2026

Shortcut: http://jobs.systemone.com/CxzeJf


Job Title: Insurance Payment Integrity Specialist
Location: Remote
Type: 6 month initial contract
Compensation:  Approx. $22.50 / hr (W-2 contractor)
Contractor Work Model: 100% remote

Overview:
We’re seeking a detail-oriented specialist to support health insurance payment integrity ( similar to medical appeals processes).  You’ll review medical documentation, analyze records, resolve discrepancies, and ensure accurate routing and data entry.

Key Responsibilities:
  • Receive and send faxes
  • Review and analyze medical records and provider correspondence related to insurance payments
  • Look up info in internal systems
  • Process faxes and incoming documentation and update systems accurately
  • Determine appropriate routing based on documentation and system data
  • Maintain spreadsheets with detailed notes.
Required Qualifications:
  • High School Diploma or GED.
  • 3+ years of experience in healthcare, health insurance operations, claims processing, or payment integrity.
  • Proficiency in Microsoft Excel and ability to navigate multiple systems and screens efficiently.
  • Strong analytical, organizational, and data entry skills with attention to detail.
  • Basic understanding of ICD-10, CPT procedure codes, and common insurance denial reasons.
Preferred Qualifications:
  • Experience with FACETS system (strongly preferred);
  • Familiarity with NASCO and SIR systems is helpful.
  • Background in payment integrity or healthcare claims processing.

Top Skills:

  • Multi-screen navigation
  • Data entry
  • Accuracy and efficiency
System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

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