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Director Payment Integrity Jobs in Racine, WI (NOW HIRING)

Where respect, integrity and being true to your word are valued and rewarded? This is the place ... Achieves successful loan production, deposit, treasury, and payment services objectives through ...

Expressive Therapist

Waukegan, IL ยท On-site

$50K - $65K/yr

Be responsive to the business office regarding client fees/payments * Complete requests time off in a timely through the Program Director * Represent the agency with integrity Art/DMT ...

Be responsive to the business office regarding client fees/payments * Complete requests time off in a timely through the Program Director * Represent the agency with integrity Art/DMT ...

Accounts Receivable Associate

Sturtevant, WI ยท On-site

$18.50 - $23.75/hr

... integrity of Grand Appliance's receivables and billing for credit customers. This includes direct ... Apply payments in all forms (check, credit card, ACH or wire) * Set up new accounts and initiate ...

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Director Payment Integrity information

What are the key skills and qualifications needed to thrive as a director of payment integrity, and why are they important?

To thrive as a Director of Payment Integrity, you need a strong background in healthcare claims management, analytics, and regulatory compliance, often supported by a bachelor's or master's degree in healthcare administration, business, or a related field. Expertise with claims processing systems, data analytics tools like SQL or SAS, and relevant certifications such as Certified Professional Coder (CPC) are commonly required. Exceptional leadership, strategic thinking, and communication skills help drive cross-functional initiatives and foster collaborative problem-solving. These competencies are crucial to effectively identify and mitigate payment inaccuracies, ensuring compliance and optimizing financial performance for healthcare organizations.

What is the difference between Director Payment Integrity vs Payment Integrity Analyst?

AspectDirector Payment IntegrityPayment Integrity Analyst
CredentialsBachelor's degree, often advanced certifications in healthcare or financeBachelor's degree, relevant certifications preferred
Work EnvironmentLeadership role overseeing teams and strategiesAnalytical role focused on data review and issue resolution
Employer & Industry UsageHealthcare payers, insurance companies, large healthcare organizationsHealthcare providers, insurance companies, claims processing units
Search & Comparison IntentUnderstanding managerial responsibilities and strategic oversightFocus on data analysis and claims review processes

The main difference between a Director Payment Integrity and a Payment Integrity Analyst lies in their level of responsibility and scope. The Director oversees teams, develops strategies, and manages overall payment integrity programs, while the Analyst focuses on data analysis, claims review, and issue resolution. Both roles require relevant healthcare or finance certifications, but the director's role is more strategic and leadership-oriented.

How does a director of payment integrity typically collaborate with cross-functional teams to ensure accurate claims processing?

A Director of Payment Integrity regularly works with teams such as claims, IT, compliance, and provider relations to develop and implement strategies that minimize payment errors and fraud. Collaboration often involves leading meetings to review audit findings, coordinating the integration of technology solutions, and ensuring all departments are aligned on regulatory requirements. This cross-team approach helps streamline workflows, enhances data accuracy, and supports continuous improvement initiatives to safeguard the organization's financial health.

What does a director of payment integrity do?

A Director of Payment Integrity is responsible for overseeing programs and strategies that ensure accurate payments within a healthcare or insurance organization. This role focuses on identifying and preventing improper payments, such as overpayments or fraud, by analyzing claims data, implementing process improvements, and ensuring compliance with regulations. Directors of Payment Integrity work closely with other departments to optimize payment accuracy, reduce financial risk, and enhance overall operational efficiency. They may also lead teams, develop training, and report on key performance metrics related to payment integrity initiatives.
What job categories do people searching Director Payment Integrity jobs in Racine, WI look for? The top searched job categories for Director Payment Integrity jobs in Racine, WI are:
Infographic showing various Director Payment Integrity job openings in Racine, WI as of August 2026, with employment types broken down into 100% Full Time. Highlights an 78% In-person, 2% Hybrid, and 20% Remote job distribution.

Direct Loan Representative, Full-Time (West Milwaukee)

GUARDIAN CREDIT UNION

West Milwaukee, WI โ€ข On-site

Other

This job post hasย expired 1 day ago.ย Applications are no longer accepted.


Job description

BASIC RESPONSIBILITES:

Under supervision of the VP of Consumer Lending, the Direct Loan Representative will be responsible for the efficient, accurate, and compliant processing of all consumer lending loans. Assists with all activities associated with consumer lending, processing member transactions and responding to membersโ€™ needs for information.

OUR CORE VALUES:

The Direct Loan Representative will be expected to act in a manner which is in accordance with Guardian Credit Unionโ€™s values:

  1. Relationships โ€“ We treat each other, our members, and our community with respect.
  2. Accountability โ€“ We hold ourselves to a higher standard.
  3. Teamwork โ€“ We work together to reach our goals.
  4. Honesty โ€“ We believe in conducting ourselves with honesty, integrity, trust, and fairness.ย 

ESSENTIAL FUNCTIONS:

  1. Daily processing and underwriting of Consumer Lending applications. Receiving applications through all channels in-person, emails, website, and over the phone. Applications include but not limited to; Auto Loans, other collateral loans, unsecured loans, Line of credit loans, CD/share secured loans and Home Equity loans.
  2. Communicate and follow-up with members to ensure back-end items are processed correctly and efficiently.
  3. Promptly complete internal request for loan and/or other services processed by Centralized Lending. Getting back to the internal or external member in a fast, efficient and accurate manner.
  4. Process and complete daily, weekly, and monthly reports for loans as needed.
  5. Assist and back up any back-end processing and exceptions.
  6. Attend webinars, training classes and/or conferences needed for any changes and updates as need or required by regulation and management.
  7. Take action to resolve any problems or errors in Centralized Lending back-end services.
  8. Provide excellent service and assistance to members and staff.
  9. Work closely with Branch Loan Representatives to schedule closings and obtain closing paperwork as needed.

SECONDARY FUNCTIONS:

  1. Perform routine member transactions, such as, but not limited to account transfers, loan payments, stop payments, and due date changes.
  2. Serve as a backup to the indirect department.
  3. Complete special projects or other duties as assigned
  4. Process back end products cancellations as needed.
  5. Bring ideas to improve and increase efficiency and volume among the department.
  6. Outside contacts become important and fostering sound relationship with other entities (companies and/or individuals) become necessary.

SKILLS AND ABILITIES REQUIRED:

Education/Experience: A high school diploma and a two-year college degree, or an equivalent combination of education and experience totaling 3 years in a credit union or other financial institution. Preferred qualifications include experience and knowledge in consumer lending and related products.

SKILLS:

  1. Must be able to obtain/maintain active NMLS registration.
  2. High level of interpersonal skills to communicate effectively.
  3. Previous experience in the lending industry or general knowledge of consumer lending.
  4. A significant level of trust and diplomacy is required, in addition to normal courtesy and tact.
  5. Work involves extensive personal contact with others and/or is usually of a personal or sensitive nature. Confidentiality must be maintained at all times.
  6. Must present a professional, business-like appearance and manner.
  7. Must demonstrate Guardian Credit Unionโ€™s values (Relationships, Accountability, Teamwork, and Honesty).ย 
  8. Must be bondable.

WORK ENVIRONMENT:

While performing the duties of this job, the employee regularly works in an office setting.

PHYSICAL DEMANDS:

  1. Must be able to remain in a stationary position and occasionally move about the inside of the office.
  2. Ability to move about inside the office to access file cabinets, office equipment, etc.
  3. Ability to constantly operate a computer and other office productivity equipment, such as a calculator, copy machine, fax machine and printer.
  4. Requires the ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.

TRAVEL:

  1. Local travel to worksites is required at times.
  2. Must have reliable transportation.

HOURS:

Monday through Friday, Varying 8:00 am until 6:00 pm. Rotating Saturdays, 9:00 am until 12:30 pm.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities