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Remote Payment Integrity Analyst Jobs in Iowa (NOW HIRING)

This position is fully remote with some quarterly required travel | Schedule: Monday - Friday, 8AM ... system integrity Attends and participates in team, project and department meetings to increase ...

Manager, Audits and Appeals

Iowa City, IA · On-site +1

$98K - $131K/yr

... of Revenue Integrity - Audits and Appeals leads the operational, strategic, and analytical ... Reasonable knowledge of claims payment methodologies for both physician and hospital reimbursement ...

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Remote Payment Integrity Analyst information

How much does a remote payment integrity analyst make?

A remote payment integrity analyst typically earns between $50,000 and $80,000 annually, depending on experience, location, and certifications. The role often requires strong analytical skills and familiarity with healthcare or financial systems, with some positions offering additional bonuses or benefits for remote work arrangements.

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 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 popular job titles related to Remote Payment Integrity Analyst jobs in Iowa? For Remote Payment Integrity Analyst jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Remote Payment Integrity Analyst jobs in Iowa look for? The top searched job categories for Remote Payment Integrity Analyst jobs in Iowa are:
What cities in Iowa are hiring for Remote Payment Integrity Analyst jobs? Cities in Iowa with the most Remote Payment Integrity Analyst job openings:

Revenue Cycle Representative (Urgent Admissions) - Patient Access Management (PAM) - Patient Fina...

The University Of Iowa

Iowa City, IA • On-site, Remote

$17 - $21.75/hr

Full-time

Posted yesterday

New


University Of Iowa rating

6.9

Company rating: 6.9 out of 10

Based on 85 frontline employees who took The Breakroom Quiz

458th of 616 rated colleges and universities


Job description

University of Iowa Health Care department Patient Financial Services is seeking a Revenue Cycle Representative (RCR) for an entry-level Urgent Admissions Specialist who will be expected to provide exceptional customer service to our external customers: patients, patient families, insurance contacts, etc; as well as internal customers.  You will support UIHC's "Service Excellence" standards to all of our customer groups by demonstrating compassion, empathy, and respecting patient rights.  You will utilize tools and processes to make independent decisions and will maintain integrity and

The Urgent Admissions Specialist must have a demonstrated ability to prioritize, multi-task & quickly change focus in fast-paced team environment.   You will be expected to provide accurate and comprehensive information (verbally and in writing) to patients, outside agencies and various administrative and management personnel regarding all third-party interactions, patient billing and customer service activities.  The Admissions Specialist must have the ability to exhibit compassion and empathy when working directly with patients and/or their families.

This position is primarily a combination of remote and onsite (hybrid) work locations.  Remote work must be performed at an offsite location within the State of Iowa.  Training will be held either on ONSITE at the HSSB building or via zoom, with location and length of training determined by the supervisor.  Remote eligibility will be evaluated upon a satisfactory job training opportunity.  Per policy, work arrangements will be reviewed annually and must comply with the remote work program and related policies and employee travel policy when working at a remote location.

University of Iowa Health Care-recognized as one of the best hospitals in the United States-is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives.

WE CARE Core Values:

  • Welcoming - We have an environment where everyone has a voice that is heard; that promotes the dignity of our patients, trainees, and employees; and allows all to thrive in their health, work, research, and education.
  • Excellence - We achieve and deliver our personal and collective best in the pursuit of quality and accessible health care, education, and research.
  • Collaboration - We collaborate with health care systems, providers, and communities across Iowa and the region as well as within our UI community. We believe teamwork-guided by compassion-is the best way to work.
  • Accountability - We behave ethically, act with fairness and integrity, take responsibility for our own actions, and respond when errors in behavior or judgment occur.
  • Respect - We create an environment where every individual feels safe, valued, and respected, supporting the well-being and success of all members of our community.
  • Empowerment - We commit to fair access to research, health care, and education for our community and opportunities for personal and professional growth for our staff and learners.

Position Responsibilities:

  • Analyze and verify patient demographic, insurance eligibility and financial information/responsibility for accurate claim submission and reimbursement.  
  • Review accounts and initiate pre-certification, pre-authorization, referral forms and other requirements related to managed care; route to appropriate departments as needed.
  • Advise patients and/or family members about their healthcare accounts and link patients to the available funding sources such as: Medicaid, Healthcare Marketplace, Payment Plans and Uncompensated Care. 
  • Identify & report undesirable trends and reimbursement modeling errors or underlying causes of incorrect payment; review allowed variances from third party payers. 
  • Be expected to maintain a high-level of accuracy to meet productivity and quality requirements.
  • Identify trends and/or work processes for potential process improvements. 
  • Review and analyze report data to provide status updates to leadership.  
  • Communicate with providers, payers, patients, internal departments, co-workers, and Coordinator's to resolve issues. 
  • Work with court system to provide time sensitive documents and ensure that deadline dates are met and that UI Health Care is in compliance.    
  • Maintain  extensive working knowledge and expertise based around payer regulations/policies, financial classifications and financial assistance programs.  
  • Build and maintain solid working relationships with clinical staff, referral sources, insurance companies, medical providers and public.

Classification Title: Revenue Cycle Representative (Urgent Admissions)

Department: Patient Financial Services

Pay Grade: 2B

Percent of Time: 100% FTE

Hours: Sunday through Saturday 3 week rotation either work 4-10 hour shifts or 5-8 hour shifts

This position will include an additional 5% to base salary for high intensity role.

Location: UIHC, 200 Hawkins Drive, Iowa City: 4015 4BT

This position is primarily a combination of remote and onsite (hybrid) work locations.  Remote work must be performed at an offsite location within the State of Iowa.  Training will be held either on ONSITE at the HSSB building or via zoom, with location and length of training determined by the supervisor.  Remote eligibility will be evaluated upon a satisfactory job training opportunity.  Per policy, work arrangements will be reviewed annually and must comply with the remote work program and related policies and employee travel policy when working at a remote location.

Equipment:

Onsite - The department will provide a workstation which contains 3 (three) monitors, laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies can be found in the supply closet.

Hybrid - while working onsite, the department will provide a workstation which contains 3 (three) monitors, a laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies. When working offsite, the employee will take their laptop/power cord to carry back and forth, a second docking station/power cord to keep offsite. Prior to working offsite, the employee, at their own expense, will need to supply 2 (two) monitors, in addition to the university-issued laptop, which will serve as a third monitor due to its built-in camera function, a keyboard, and a mouse. Employees will be required to provide a photo of the domicile office setup and perform an internet speed test by visiting https://www.speedtest.net/ with a minimum 30mb download and 10mb upload reflecting a University of Iowa IP address, then providing a screenshot of the speed test to HR.  The employee's remote workstation should replicate the onsite setup as if they were working onsite at HSSB.

Remote - when working offsite, the department will provide the employee a laptop/power cord, docking station/power cord, headset. Prior to working offsite and at their own expense, the employee will be required to obtain or possess 2 (two) monitors, in addition to the university-issued laptop, which will serve as a third monitor due to its built-in camera function, a keyboard, and a mouse. Employees will be required to provide a photo of the domicile office setup and perform an internet speed test by visiting https://www.speedtest.net/ with a minimum 30mb download and 10mb upload reflecting a University of Iowa IP address, then providing a screenshot of the speed test to HR.  The employee's remote workstation should replicate the onsite setup as if they were working onsite at HSSB.
 

Education Required:

  • Bachelor's degree or equivalent combination of education and relevant experience.  

Experience Requirements:

  • 6 months or more of related customer service experience in a professional, financial or health care related environment.   
  • Strong attention to detail and proven ability to gather and analyze data and keep accurate records.    
  • Proficiency with computer software applications, i.e. Microsoft Office Suite (Excel, Word, Outlook, PowerPoint) or comparable programs and an ability to quickly learn and apply new systems knowledge.  
  • Demonstrated ability to handle complex and ambiguous situations with minimal supervision. 
  • Self-motivated with initiative to seek out additional responsibilities, tasks, and projects. 
  • Effective communication skills (written and verbal), active listening skills and the ability to maintain professionalism while handling difficult situations with callers or customers.
  • Successful history collaborating in a fast-paced team environment.

Desirable Qualifications:

  • Experience maintaining professionalism while handling difficult situations with callers or customers.
  • Demonstrated ability to maintain or improve established productivity and quality requirements. 
  • Familiarity with medical terminology. 
  • Basic knowledge of Health Insurance Portability and Accountability Act (HIPAA) laws. 
  • Basic knowledge of healthcare billing (healthcare revenue cycle); insurance, and/or federal and state assistance programs. 
  • Experience identifying opportunities for improvement and making recommendations and suggestions.
  • Working experience with multiple technology platforms such as Epic, Cirius, ACD, and/or GE.
  • Ability to drive results and foster accountability throughout the team and organization. 
  • Maintain current awareness of industry trends and continually strive for improvement with both technical and professional skills.  

Application Process:

To be considered for an interview, applicants must upload the following documents and mark them as a "Relevant File" for the submission:

  • Resume
  • (optional) Cover Letter

Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process.

Successful candidates will require a work arrangement form to be completed upon the start of your employment. Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location.

For additional questions, please contact Zach Schmidt at zachary-e-schmidt@uiowa.edu.
Applicant Resource Center:

Need help submitting an application or accepting an offer? Support is available! Our Applicant Resource Center is now open in the Fountain Lobby at the Main Hospital. 

Hours:

  • Monday 10:00 am - 4:00 p.m. 
  • Tuesday 10:00 am - 4:00 p.m. 
  • Wednesday 10:00 am - 4:00 p.m.
  • Thursday 10:00 am - 4:00 p.m.
  • Friday 10:00 am - 4:00 p.m.

Or by appointment - Contact TAHealthCareSupport@healthcare.uiowa.edu to schedule an appointment or just stop by.

Visit the website for more information: Application Resource Center | University of Iowa Health Care 
 

Additional Information
  • Classification Title: Revenue Cycle Representative
  • Appointment Type: Professional and Scientific
  • Schedule: Full-time
  • Work Modality Options: Hybrid within Iowa
Compensation
  • Pay Level: 2B
Contact Information
  • Organization: Healthcare
  • Contact Name: Zach Schmidt
  • Contact Email: zachary-e-schmidt@uiowa.edu

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