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Remote Payment Integrity Analyst Jobs in Nevada (NOW HIRING)

Court Systems Analyst

Minden, NV · On-site +1

$79K - $110K/yr

THIS POSITION DOES NOT OFFER REMOTE WORK*** Join a small but dedicated team in serving the varied ... Represents the Court with dignity, integrity, and a spirit of cooperation in all relationships with ...

Space Planning Analyst

Las Vegas, NV · On-site +1

$92K - $138K/yr

Remote (must be based in Dallas, Cincinnati, Des Moines, or Las Vegas) This Space Planning Analyst ... integrity, and alignment across stakeholders Support category and assortment projects that help ...

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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 Nevada?

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

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

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

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

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

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

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

Court Systems Analyst

Douglas County (NV)

Minden, NV • On-site, Remote

$79K - $110K/yr

Full-time

Posted 7 days ago


Douglas County (Nebraska) rating

8.8

Company rating: 8.8 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

143rd of 848 rated public administrative organizations


Job description

DESCRIPTION **Applications are reviewed on a regular basis. The posting may close prior to the listed closing date. Individuals are encouraged to apply immediately.** ***THIS POSITION DOES NOT OFFER REMOTE WORK*** Join a small but dedicated team in serving the varied technical needs of Douglas County Judiciary operations

The Court Systems Analyst will ensure the operational effectiveness, integrity, and efficiency of the court systems by leading the development and implementation of key systems, including training and ongoing assistance to staff. The role requires an individual who is willing to step in when needed to serve as a part of the team while providing top level customer service and assistance in meeting the needs of the varied divisions within the organization. Primary Objectives Performs complex work supporting and advancing court technology systems, applications, and related business processes.

Leads the analysis, implementation, and maintenance of court systems to ensure operational effectiveness, data integrity, and efficient service delivery. Provides project leadership, technical expertise, and user support while collaborating with court leadership and staff to identify needs, implement solutions, and improve the use of court management technology; performs related tasks as apparent or assigned. Supervision Exercised None PRIMARY DUTIES AND RESPONSIBILITIES Collaborates with stakeholders, vendors, and technical staff on court system implementations, upgrades, and enhancements.

Leads business process analysis, requirements gathering, testing, and user acceptance activities to support successful project outcomes. Analyzes court business processes and workflows; develops process maps, functional requirements, interface requirements, and documentation to support system enhancements and technology initiatives. Leads the development and communication of business requirements and functional specifications; collaborates with court staff, management, vendors, and technical resources to design and implement business solutions.

Monitors quality assurance for a variety of programs; provides training on the use of the system/software; and consults with technical resources regarding the technical requirements, logic, and deficiencies of programs. Reviews and evaluates organizational resources and provides analysis and recommendations for efficient usage of court resources. Coordinates assigned project activities, timelines, testing, and stakeholder communications to support successful implementation of court technology initiatives.

Participates in the development and maintenance of a variety of systems, processes and procedures related to court activities; maintains manuals/workbooks and updates resource materials; reviews and analyzes priorities within a functional area and makes recommendations. Monitors and addresses data quality issues within the courts. Works with court staff to ensure compliance with procedures to ensure complete and accurate data is recorded; prepares regular reports and analysis to ensure that the data reported by the courts are complete and accurate; corrects quality and integrity issues related to data entry into the case management systems.

Maintains court system configuration settings, code tables, and business rules within assigned applications to support operational and reporting requirements. Ensures compliance with Nevada Revised Statutes, Douglas County Code, and Supreme Court Rules. Develops and maintains operational, statistical, and regulatory reports; analyzes court data and trends to support decision-making, compliance, and performance improvement initiatives.

Coordinates and performs user acceptance testing; develops test scripts, validates business requirements, and documents results to ensure system functionality and operational readiness; trains employees on use, best practices and updates to all court systems. Participates in data collection, compilation, coordination, and organization of budget documentation. May develop budget recommendations.

Reviews and analyzes caseload patterns, processes and policies, Uniform System for Judicial Records (USJR), Minimum Accounting Standards, national, state and local laws, legislation and legislative mandates; makes recommendations for appropriate documentation and efficient processes for caseload management and as it relates to the case management systems. Performs duties in accordance with the Code of Conduct for Court Professionals and established ethical standards. Represents the Court with dignity, integrity, and a spirit of cooperation in all relationships with staff and the public.

Contributes effectively to the accomplishment of team or work unit goals, objectives, and activities. MINIMUM QUALIFICATIONS/CERTIFICATIONS & LICENSES MINIMUM QUALIFICATIONS Bachelor's degree in Computer Science, Information Technology, Project Management or a closely related field and two (2) years of experience at an analyst level; OR an equivalent combination of education, training and experience. CERTIFICATIONS/LICENSES None WORKING CONDITIONS/ACKNOWLEDGEMENTS WORKING CONDITIONS The characteristics listed below are representative of the physical demands, physical agility, sensory requirements, and environmental exposures required by an individual to successfully perform the essential duties of this position.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. This work requires the frequent exertion of up to 10 pounds of force and occasional exertion of up to 50 pounds of force. Work regularly requires sitting, speaking or hearing, using hands, reaching with hands and arms and repetitive motions; frequently requires standing and walking; occasionally requires climbing or balancing, kneeling or crawling and pushing or pulling.

Work requires close vision, distance vision, ability to adjust focus, depth perception, color perception and peripheral vision; vocal communication is required for conveying detailed or important instructions to others accurately, loudly or quickly; hearing is required to receive detailed information through oral communication and/or to make fine distinctions in sound. Work requires preparing and analyzing written or computer data, visual inspection involving small defects and/or small parts, operating motor vehicles or equipment and observing general surroundings and activities. Work is generally in a moderately noisy location (e.g

business office, light traffic). Work is regularly performed in an office/courtroom environment requiring sitting/standing for extended periods of time. Frequently subject to interruptions and multiple calls and inquiries.

ACKNOWLEDGEMENTS Continued employment is contingent upon all required licenses and certificates being maintained in active status without suspension or revocation. Employment is contingent upon successful completion of background/screening. Douglas County participates in E-Verify and will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each applicant's Form I-9 to confirm work authorization.

All candidates who are offered employment must complete Section 1 of the Form I-9 along with the required proof of their right to work in the United States and proof of their identity prior to starting employment. Please be prepared to provide required documentation as soon as possible after the job offer is made. This job description indicates, in general, the nature and levels of work, knowledge, skills, abilities and other essential functions expected of the incumbent.

The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. Incumbent may be asked to perform other duties as required.


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