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Remote Payment Integrity Analyst Jobs in Tennessee

Remote Virtual Executive Assistant

Durham, NC · On-site +1

$1.5K - $3.8K/mo

Protecting Yourself from Recruitment Scams Zirtual is committed to maintaining the integrity of our ... Zirtual will never ask for payment or demand personal financial details (such as banking ...

Collector, CBO

Nashville, TN · Remote

$16.50 - $22/hr

COLLECTOR, CBO REMOTE Company Overview: AMSURG is an independent leader in ambulatory surgery ... Phone patients for payment or payment arrangements * Print and re-file claims as needed. * Work ...

Collector, CBO

Nashville, TN · Remote

$16.50 - $22/hr

COLLECTOR, CBO REMOTE Company Overview: AMSURG is an independent leader in ambulatory surgery ... Phone patients for payment or payment arrangements * Print and re-file claims as needed. * Work ...

Collector, CBO

Nashville, TN · Remote

$16.50 - $22/hr

COLLECTOR, CBO REMOTE Company Overview: AMSURG is an independent leader in ambulatory surgery ... Phone patients for payment or payment arrangements * Print and re-file claims as needed. * Work ...

Showing results 41-60

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 Tennessee?

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

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

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

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

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

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

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

Senior Epic Hospital Billing Analyst

Lifepoint Health

Brentwood, TN • Remote

$83K - $110K/yr

Full-time

Re-posted 16 days ago


Key responsibilities

  • Facilitate project meetings and presentations to diverse audiences including project team and senior leadership.

  • Lead or participate in multiple projects by managing project scope, documentation, schedules, and ensuring on-time delivery of tasks and milestones.

  • Serve as a resource for application team members on technical and functional application analysis, system requirements, and data models.


LifePoint Health rating

5.9

Company rating: 5.9 out of 10

Based on 273 frontline employees who took The Breakroom Quiz

765th of 898 rated healthcare providers


Job description

EEOC Statement

"Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

You must be authorized to work in the United States without employer sponsorship.

Working Environment

This position is: Remote

Travel requirements: Up to 5% travel

Job Summary:

The Epic Senior Systems Analyst provides analytical support above and beyond the role of Epic System Analyst and performance is consistently superior in all aspects of the job. Takes the initiative to identify solutions to problems within and outside of own applications. This includes facilitation of multiple workflow enhancements and projects to support end-user workflows across the health system. Identify opportunities for improvement and recommend enterprise level solutions while fostering collaboration between various parties.  The Epic Senior Systems Analyst works to mentor less experienced analysts across the department.

Mission Responsibilities:

Core Competencies

  • Contributes to achievement of our Mission and Vision of the organization:

  • Adapting to Change - Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives.

  • Continuous Improvement - Acts to constantly improve the level of clinical and non-clinical outcomes and level of customer satisfaction in both individual and team work processes.

  • Customer Focus - Demonstrates concern for meeting or exceeding internal and external customers' expectations/requirements in a manner that provides satisfaction for the customer.

  • Teamwork - Accomplishes tasks through working effectively with others and appreciating the value and commitment of every member.

  • Service Excellence - Strives toward achievement of the Standards of Performance.

Essential Responsibilities: 

  • Facilitate project meeting and presentations to diverse audiences including project team through senior leadership.

  • Lead/participate in multiple projects by completing and updating project documentation; managing project scope; adjusting schedules when necessary; determining daily priorities; ensuring efficient and on-time delivery of project tasks and milestones; follow proper escalation paths.

  • Collaborates on decisions that refine and improve known practices or develops new approaches (researching and assess new technologies or functionalities).

  • Maintain project documentation including meeting minutes and issue lists. Manage end-user relationships and expectations by developing documentation and communication processes to keep others up to date on project results.

  • Follow up on all issues for timely resolution before they become a threat to the project schedule. Stay current with end-user needs and strategies.

  • Communicate effectively with project stakeholders. Utilize formal and informal written communication methods to communicate updates and findings.

  • Serves as a resource for other application team members on technical and functional application analysis, defining system requirements, and developing logical data models using best practices for build, configuration, maintenance, and data integrity.

  • Ability to foresee/anticipate problems. Experience and skills to take full ownership of a significant issue/assignment.

  • Participating in training and working with end users

  • Identify appropriate parties/teams needed for the scope of the project.

  • Perform planning and estimation for specific tasks within the project scope.

  • Relate tasks and projects to the big picture.

  • Develop and execute action plans within the project scope.

  • Identify improvement opportunities and ways to increase adoption and end-user satisfaction.

  • Serve as a liaison for technical requirements and support.

  • Support and align efforts to meet end users' needs.

Other Responsibilities:

All other responsibilities as assigned in accordance with qualifications.

Job Qualifications

  • Education 

    Bachelor's degree in computer science, Information Science, or related technical field or equivalent combination of education, experience, and training that provides the required knowledge, skills, and abilities.

  • Experience

    Required: Five to seven years' experience in systems analysis and implementation in a healthcare environment with demonstrated project leadership.

  • Certification/Licensure/Registration

    Required: Current Epic Certification(s) in assigned applications as applicable 

    Preferred: Current Certification(s) in multiple modules of Epic EMR.

  • Skills and Abilities

    Required:  Ability to prioritize, resolve conflict, and maintain project plans and issues lists. Ability to identify and manage risks to keep the project on time. Strong communication, interpersonal skills, problem solving, and analytical skills. Ability and interest in developing mastery level knowledge of Epic EMR functionality to enhance patient care and end user experience across the health system.

Physical Requirements

As defined by the physical requirements and working conditions form maintained by the Occupational Health Department.

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

What LifePoint Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


LifePoint Health logo

About LifePoint Health

Sourced by ZipRecruiter

Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Brentwood, TN, US

Year founded

1999

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