Payer Integrity Associate

The Payer Integrity Associate supports revenue integrity efforts related to professional/physician services by identifying and resolving payment discrepancies across payer contracts. This role performs routine audits, analyzes reimbursement against fee schedules, and assists with recovery of underpayments and resolution of over payments. The Associate also conducts ongoing reviews of practice-level performance, supports special projects involving historical claims analysis, and collaborates with internal teams and payer representatives to ensure accurate reimbursement.

Minimum Qualifications

• Previous experience in healthcare revenue cycle, medical billing, coding, or reimbursement analysis required.
• Associate's or Bachelor's degree in healthcare administration, business, finance, or a related field required; directly related experience may be considered in lieu of required degree.