Revenue Integrity Specialist - 100% Remote

JOB TITLE: HEALTHCARE REVENUE INTEGRITY SPECIALIST STATUS: FULL-TIME NON-EXEMPT DIRECT HIRE LOCATION: REMOTE (ANYWHERE IN THE UNITED STATES) TARGET PAY RATE: $25.00-$29.00 PER HOUR We’re a fast-growing, fully remote healthcare organization on a mission to improve access to care—and we know our people make that possible. As we expand, we are adding a new role to our leadership team. We are seeking a Healthcare Revenue Integrity Specialist who will be responsible for reviewing daily payment batches, reconciling them against bank deposits, validating payer and claim accuracy, and supporting month-end close activities. The position ensures compliant documentation, supports audit readiness, and identifies opportunities to improve payment integrity and revenue cycle accuracy. ** NOTE: Candidates with payment posting experience and have various medical billing certifications will get first review. ** About Expressable Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients since our inception in late 2019. We are passionate advocates of parent-focused intervention. Our e-learning platform contains thousands of home-based learning modules authored by our clinical team, helping SLPs empower caregivers to integrate speech therapy techniques into their child’s daily life and improve outcomes. Our mission is to set a new standard in speech therapy by making every caregiver a champion of their loved one’s success. We envision a world where everyone can fulfill their communication potential. The Healthcare Revenue Integrity Specialist is responsible for reviewing daily payment batches, reconciling them against bank deposits, validating payer and claim accuracy, and supporting month-end close activities. The position ensures compliant documentation, supports audit readiness, and identifies opportunities to improve payment integrity and revenue cycle accuracy. WORK AUTHORIZATION: We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas at this time. What You Would Be Doing at Expressable - Reconcile daily payment batches in Candid against bank deposits, resolving unapplied or unmatched items. - Audit claim and payment data for accuracy, proper denial status, and correct payer assignment. - Validate reimbursement amounts against contracted fee schedules and expected payments. - Monitor deposit aging, adjustment codes, and denial patterns; escalate discrepancies or unusual trends. - Maintain accurate reconciliation documentation and ensure audit readiness. - Prepare and share denial feedback and reconciliation summaries to support process improvements. - Verify reconciliations and reports for month-end close and financial accuracy. - Assist with payment integrity projects, such as underpayment reviews and payer audits. - Collaborate with Billing, Quality, and Compliance to refine processes and enhance revenue accuracy. - Present reconciliation findings and payer insights in revenue review meetings. What You Bring to Expressable ** NOTE: Candidates with payment posting experience and have various medical billing certifications will get first review. ** - Education/Experience: Associate’s or bachelor’s degree in accounting, finance, healthcare administration, or related field preferred. - Experience: 2–3 years of experience in payment reconciliation, healthcare billing, or revenue cycle operations. - Technical Skills: Proficiency with EHR/RCM platforms (e.g., Candid, Availity, Waystar), Excel/Google Sheets, and payment posting systems. - Analytical Skills: Strong attention to numerical accuracy, ability to interpret payer remittance advice, and comfort with variance analysis. - Regulatory Knowledge: Understanding of HIPAA, PCI, and healthcare payer requirements. - Preferred: Experience in multi-state telehealth or large outpatient provider environment. Any Medical…