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Payment Integrity Jobs in Georgia (NOW HIRING)

HealthOne Alliance

Payment Integrity Analyst

Dalton, GA · On-site

JOB PURPOSE A Payment Integrity Analyst reviews healthcare claims, payments, and billing to find errors, fraud, waste, or abuse, ensuring compliance with rules (like CMS) and policies, using strong ...

HealthOne Alliance

Payment Integrity Analyst

Dalton, GA · On-site

JOB PURPOSE A Payment Integrity Analyst reviews healthcare claims, payments, and billing to find errors, fraud, waste, or abuse, ensuring compliance with rules (like CMS) and policies, using strong ...

Zelis

Senior Solution Advisor, Payment Integrity

Atlanta, GA · Remote

$131K - $131K/yr

Provide expertise on Payment Integrity portfolio, including PowerPoint creation and presentation, data analyses, evaluating product fit, and answering client/prospect questions. Strategic partner ...

Piedmont Urgent Care

Payment Poster

Atlanta, GA · On-site +1

$17 - $21.50/hr

Your work directly impacts our financial performance by ensuring timely, accurate payment posting and helping maintain the integrity of our revenue cycle. If you enjoy working in a fast-paced health ...

Beaumont Urgent Care

Payment Poster

Atlanta, GA · On-site +1

$17 - $21.50/hr

Your work directly impacts our financial performance by ensuring timely, accurate payment posting and helping maintain the integrity of our revenue cycle. If you enjoy working in a fast-paced health ...

Beaumont Urgent Care

Payment Poster

Newnan, GA · On-site

$16.25 - $20.50/hr

Your work directly impacts our financial performance by ensuring timely, accurate payment posting and helping maintain the integrity of our revenue cycle. If you enjoy working in a fast-paced health ...

WellStreet Urgent Care

Payment Poster

Newnan, GA · On-site

$16.25 - $20.50/hr

Your work directly impacts our financial performance by ensuring timely, accurate payment posting and helping maintain the integrity of our revenue cycle. If you enjoy working in a fast-paced health ...

Piedmont Urgent Care

Payment Poster

Newnan, GA · On-site

$16.25 - $20.50/hr

Your work directly impacts our financial performance by ensuring timely, accurate payment posting and helping maintain the integrity of our revenue cycle. If you enjoy working in a fast-paced health ...

University Hospitals Urgent Care

Payment Poster

Newnan, GA · On-site

$16.25 - $20.50/hr

Your work directly impacts our financial performance by ensuring timely, accurate payment posting and helping maintain the integrity of our revenue cycle. If you enjoy working in a fast-paced health ...

Piedmont Urgent Care

Payment Poster

Newnan, GA · On-site +1

$16.25 - $20.50/hr

Your work directly impacts our financial performance by ensuring timely, accurate payment posting and helping maintain the integrity of our revenue cycle. If you enjoy working in a fast-paced health ...

Beaumont Urgent Care

Payment Poster

Newnan, GA · On-site +1

$16.25 - $20.50/hr

Your work directly impacts our financial performance by ensuring timely, accurate payment posting and helping maintain the integrity of our revenue cycle. If you enjoy working in a fast-paced health ...

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Payment Integrity information

See Georgia salary details

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How much do payment integrity jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for payment integrity in Georgia is $15.19, according to ZipRecruiter salary data. Most workers in this role earn between $12.98 and $16.63 per hour, depending on experience, location, and employer.

What are some typical challenges faced in a payment integrity position?

Professionals in Payment Integrity roles often encounter complex claims data, evolving regulatory requirements, and the need to identify subtle errors or irregular billing patterns with precision. Balancing high-quality analysis with efficiency, while navigating between multiple systems and large datasets, can be challenging. The role often requires close collaboration with other departments such as provider relations, compliance, and IT to resolve issues and implement process improvements. Successfully overcoming these challenges helps organizations minimize losses, maintain compliance, and promote fair payment practices.

What does a payment integrity specialist do?

A payment integrity specialist reviews healthcare claims and payments to identify and prevent errors, fraud, and overpayments. They analyze data, ensure compliance with regulations, and use tools like claims processing software to improve payment accuracy and reduce financial losses.

What are the key skills and qualifications needed to thrive in a payment integrity position?

To thrive in a Payment Integrity role, you need strong analytical skills, attention to detail, and a solid understanding of healthcare claims, payment processes, or insurance operations, often supported by a bachelor's degree in a related field. Familiarity with claims processing platforms, data analysis tools such as Excel or SQL, and knowledge of industry certifications (like CPC or CPMA) is valuable. Exceptional problem-solving abilities, effective communication, and the capacity to collaborate with cross-functional teams set outstanding candidates apart. These skills are crucial for accurately identifying discrepancies, preventing fraud, and ensuring efficient payment processes in complex healthcare or financial settings.

What is a payment integrity job?

A Payment Integrity job involves reviewing healthcare claims, payments, and policies to identify errors, prevent fraud, and ensure compliance with regulations. Professionals in this role analyze data, conduct audits, and collaborate with providers and payers to recover overpayments and prevent improper billing. Their goal is to enhance cost efficiency, reduce financial losses, and ensure accurate reimbursement in the healthcare system.

What are popular job titles related to Payment Integrity jobs in Georgia? For Payment Integrity jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Payment Integrity jobs in Georgia look for? The top searched job categories for Payment Integrity jobs in Georgia are:
What cities in Georgia are hiring for Payment Integrity jobs? Cities in Georgia with the most Payment Integrity job openings:
Payment Integrity jobs near you
Infographic showing various Payment Integrity job openings in Georgia as of August 2026, with employment types broken down into 79% Full Time, and 21% Part Time. Highlights an 86% In-person, 7% Hybrid, and 7% Remote job distribution, with an average salary of $31,598 per year, or $15.2 per hour.

VP, Payment Integrity

Blue Cross and Blue Shield of North Carolina

Atlanta, GA • On-site

Other

Posted 4 days ago

Blue Cross and Blue Shield of North Carolina rating

7.8

Company rating: 7.8 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

189th of 304 rated insurance

Job description

Job Description

To provide strategic direction and centralized leadership to the provider payment integrity and reimbursement policy functions inclusive of prepayment clinical and coding requirements and post payment recoupment, to promote accuracy in claims payment and correct coding to drive savings. Leads strategies for reimbursement policy development, claims editing, post payment analytics and recoupment efforts, provider education, coordination of benefits and development of new innovative programs to drive downstream cost savings for the organization. Has direct or matrixed accountability for SIU integration with or other payment integrity activities. Ensures alignment and compliance with industry standards and accountable for cost of care initiatives and assigned targets to provide affordable care to members.

Blue Cross NC is seeking a strategic and innovative Vice President, Payment Integrity to lead the vision, strategy, and execution of enterprise payment integrity programs that advance affordability, payment accuracy, and operational excellence.

As a key member of the leadership team, this executive will oversee initiatives designed to prevent, identify, and recover inaccurate healthcare payments while enhancing provider experience and supporting sustainable healthcare costs. The Vice President will partner across Finance, Medical Economics, Provider Network Management, Clinical Operations, Technology, Compliance, and Legal to drive measurable impact through analytics, automation, and process innovation.

What You'll Do

  • Assess the Payment Integrity ecosystem, prioritize high-value opportunities, and establish KPIs for savings, operations, and performance tracking.
  • Develop and execute an enterprise-wide Payment Integrity strategy aligned with organizational affordability and performance goals.
  • Lead programs focused on payment accuracy, claims integrity, coding validation, recovery operations, coordination of benefits, and related payment integrity functions.
  • Leverage advanced analytics, automation, and emerging technologies to identify opportunities, reduce waste, and improve outcomes.
  • Establish performance metrics, governance frameworks, and reporting to measure business impact and value realization.
  • Partner with provider-facing teams to balance payment accuracy with a positive provider experience.
  • Manage a high-performing multi-vendor portfolio by enforcing SLAs, optimizing fee structures, and minimizing provider abrasion.
  • Serve as a trusted advisor to executive leadership on payment integrity trends, risks, opportunities, and industry best practices.
  • Build and develop a high-performing team while fostering a culture of innovation, accountability, and continuous improvement.

What You'll Bring

  • Bachelor's degree in Business, Healthcare Administration, Finance, Public Health, or a related field.
  • 12+ years of progressive leadership experience in payment integrity, healthcare economics, claims operations, health plan operations, revenue cycle, or a related healthcare function.
  • Proven success leading large-scale strategic initiatives and high-performing teams within a payer, health plan, consulting organization, or healthcare enterprise.
  • Deep knowledge of healthcare reimbursement methodologies, claims administration, payment accuracy, and regulatory requirements.
  • Strong financial, analytical, and business acumen with the ability to translate complex data into actionable strategies.
  • Exceptional executive presence, communication skills, and ability to influence across diverse stakeholder groups.

Why Blue Cross NC

At Blue Cross NC, we're committed to making healthcare better and more affordable for the people we serve. This role offers a unique opportunity to shape the future of payment integrity, influence enterprise strategy, and drive meaningful impact on affordability, operational performance, and healthcare outcomes across North Carolina and beyond.

Join us and help transform healthcare through innovation, integrity, and strategic leadership.

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JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

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