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Remote Payment Integrity Analyst Jobs in Colorado

Payment Posting Manager

Broomfield, CO · On-site +1

$34.01 - $52.51/hr

Analytical * Collaboration * Communication * Decision-Making * Delegation * Problem Solving ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

This position is fully onsite, remote work not available. Teledyne Monitor Labs (TML) has more than ... Our reputation for honesty, integrity and high ethics is as important to us as our reputation for ...

Application Analyst

Broomfield, CO · On-site +1

$35.99 - $56.68/hr

This position is fully remote with the possibility of some necessary travel once yearly. | Schedule ... Conducts routine system audits to ensure data integrity and compliance. Collaborates with ...

Operations and Financial Analyst

Denver, CO · On-site +1

$75K - $85K/yr

Business Operations Reports To: VP Business Operations Remote: Yes POSITION SUMMARY The Operations ... integrity and actionable insights across network and financial workflows. WHO YOU ARE You are a ...

Financial Analyst Lead

Colorado Springs, CO · On-site +1

$127K - $243K/yr

Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and ... USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ...

Payments Solutions Engineer Lead

Colorado Springs, CO · On-site +1

$99K - $130K/yr

Payment Modernization & Architecture * Lead solution architecture for enterprise payment ... Strong analytical, problem-solving, and collaboration skills. * Experience operating in mission ...

Payments Solutions Engineer Lead

Colorado Springs, CO · On-site +1

$101K - $133K/yr

Payment Modernization & Architecture * Lead solution architecture for enterprise payment ... Strong analytical, problem-solving, and collaboration skills. * Experience operating in mission ...

Decision Science Analyst Senior

Colorado Springs, CO · On-site +1

$85K - $112K/yr

Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and ... USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ...

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Remote Payment Integrity Analyst information

What is a remote payment integrity analyst?

A Remote Payment Integrity Analyst is a professional who works from a remote location to review healthcare or insurance claims for accuracy, compliance, and potential fraud. Their primary role is to ensure that payments made by insurance companies or healthcare providers are correct and align with policy guidelines. They use data analysis, auditing processes, and investigative techniques to identify improper payments or billing errors. This helps organizations recover overpayments, prevent financial losses, and maintain regulatory compliance. Remote Payment Integrity Analysts typically work for health insurers, government agencies, or third-party vendors.

How does a remote payment integrity analyst typically collaborate with other departments to resolve payment discrepancies?

As a Remote Payment Integrity Analyst, you'll regularly work with teams such as billing, claims, and provider relations to investigate and resolve payment discrepancies. Clear communication—often via email, virtual meetings, or internal platforms—is crucial for gathering documentation, clarifying complex cases, and ensuring timely resolution. Collaboration may also involve sharing findings or trends to help improve overall payment processes and prevent future errors. This cross-functional teamwork is essential for maintaining accuracy and compliance in healthcare or insurance payment systems.

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

To excel as a Remote Payment Integrity Analyst, you need strong analytical skills, experience in healthcare claims or payment analysis, and a bachelor’s degree in a related field. Familiarity with data analysis tools (such as Excel, SQL, or claims processing systems) and knowledge of industry regulations like HIPAA are typically required. Attention to detail, problem-solving abilities, and effective communication are vital soft skills for investigating discrepancies and collaborating with stakeholders. These competencies ensure the accurate identification of improper payments, cost savings, and compliance within healthcare organizations.

What is the difference between Remote Payment Integrity Analyst vs Remote Claims Auditor?

AspectRemote Payment Integrity AnalystRemote Claims Auditor
Required CredentialsCertifications in healthcare compliance, coding, or auditingCertifications in claims processing, auditing, or healthcare reimbursement
Work EnvironmentRemote, healthcare or insurance companiesRemote, insurance or healthcare organizations
Industry UsageHealthcare payers, insurance companiesInsurance companies, third-party administrators
Common Search IntentUnderstanding roles in payment integrity and fraud preventionAuditing claims for accuracy and compliance

The Remote Payment Integrity Analyst focuses on detecting and preventing improper payments, fraud, and abuse within healthcare claims, often requiring compliance and coding certifications. In contrast, the Remote Claims Auditor reviews claims for accuracy and adherence to policies, typically with auditing certifications. Both roles are remote, industry-specific, and involve analyzing healthcare or insurance claims, but they emphasize different aspects of claims management and compliance.

What are the most commonly searched types of Payment Integrity Analyst jobs in Colorado?

The most popular types of Payment Integrity Analyst jobs in Colorado are:

What are popular job titles related to Remote Payment Integrity Analyst jobs in Colorado?

For Remote Payment Integrity Analyst jobs in Colorado, the most frequently searched job titles are:

What job categories do people searching Remote Payment Integrity Analyst jobs in Colorado look for?

The top searched job categories for Remote Payment Integrity Analyst jobs in Colorado are:

What cities in Colorado are hiring for Remote Payment Integrity Analyst jobs?

Cities in Colorado with the most Remote Payment Integrity Analyst job openings:

Payment Posting Manager

Imh

Broomfield, CO • On-site, Remote

$34.01 - $52.51/hr

Full-time

Re-posted 10 days ago


Job description

Job Description:

The RCO Manager of Cash Management -Payment Posting is responsible to oversee all facets of patient payments, daily deposits, ERA, and EFT maintenance. This includes ensuring the accurate and timely processing of patient payments, active participation in system integration testing, serving as a subject matter expert for payment posting, actively staying abreast of best practices, and working towards achieving executive goals, optimizing revenue cycle performance, and ensuring the financial stability of the organization.

Essential Functions

  • Provides leadership and direction to Payment Posting team, including hiring, training, coaching, performance reviews and terminations.
  • Plans, develops, implements, and communicates operational initiatives to improve the efficiency of the Payment Posting team.
  • Provides project guidance to successfully implement efficient posting processes.
  • Maintains and improves department operations by monitoring system performance, identifying and resolving problems.
  • Manages communication and processes between departments involved in the revenue cycle and identify areas for improvement.
  • Establishes productivity monitoring for the department staff to maximize resources and results.
  • Monitors key performance metrics, addresses issues in a timely manner to improve performance and resolve issues.
  • Acts as a technical expert, maintaining current working knowledge of Billing, Payment Posting regulations.
  • Ensures department compliance with HIPAA guidelines, HR policies and other corporate initiatives.
  • Develops and documents processes and policies for the department.
  • Conducts regularly scheduled meetings to communicate issues regarding compliance with established procedures and overall work unit effectiveness

Skills

  • Leadership
  • Analytical
  • Collaboration
  • Communication
  • Decision-Making
  • Delegation
  • Problem Solving
  • Process Improvement
  • Team Building
  • Time Management

Qualifications

Required

  • Demonstrated experience in healthcare revenue cycle operations.
  • Demonstrated experience leading a successful team within healthcare revenue cycle operations.
  • Demonstrates in-depth knowledge of EOB interpretatiion.
  • Demonstrates strong knowledge of healthcare billing requirements.
  • Demonstrated ability to collaborate across teams and departments.
  • Demonstrates strong knowledge of Microsoft office programs.

Preferred

  • Bachelor's degree in healthcare management, finance, or related field from an accredited institution. Education is verified.
  • Epic experience.
  • Five (5) years of experience in Healthcare Revenue Cycle (Payment Posting, Claims, billing, and Insurance and Follow up)
  • Three (3) years of supervisory experience.
  • HFMA Certification

Physical Requirements

  • Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
  • Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
  • Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
  • May have the same physical requirements as those of clinical or patient care jobs, when the leader takes clinical shifts.
  • For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location:

Peaks Regional Office

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$34.01 - $52.51

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.


Learn more about our comprehensive benefits package here.


By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.


Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.


At Intermountain Health, we usethe artificial intelligence ("AI") platform, HiredScore to improve your job application experience.HiredScore helps match your skills and experiences to the best jobs for you. WhileHiredScore assists in reviewing applications, all final decisions are made byIntermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.


All positions subject to close without notice.