Insurance Payment Integrity Specialist
N/A, OFFSITE
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.
- 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.
- 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.
- 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 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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Ref: #851-Rockville-S1
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