System One
Overview
Insurance Payment Integrity Specialist (Remote, 6 month initial contract)
Location: Remote • Type: 6 month initial contract • Compensation: Approx. $22.50 / hr (W-2 contractor) • Contractor Work Model: 100% remote
We’re seeking a detail-oriented specialist to support health insurance payment integrity (similar to medical appeals processes). You’ll review medical documentation, analyze records, resolve discrepancies, and ensure accurate routing and data entry.
Key Responsibilities
Receive and send faxes
Review and analyze medical records and provider correspondence related to insurance payments
Look up information in internal systems
Process faxes and incoming documentation and update systems accurately
Determine appropriate routing based on documentation and system data
Maintain spreadsheets with detailed notes
Required Qualifications
High School Diploma or GED
3+ years of experience in healthcare, health insurance operations, claims processing, or payment integrity
Proficiency in Microsoft Excel and ability to navigate multiple systems and screens efficiently
Strong analytical, organizational, and data entry skills with attention to detail
Basic understanding of ICD-10, CPT procedure codes, and common insurance denial reasons
Preferred Qualifications
Experience with FACETS system (strongly preferred)
Familiarity with NASCO and SIR systems is helpful
Background in payment integrity or healthcare claims processing
Top Skills
Multi-screen navigation
Data entry
Accuracy and efficiency
System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
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Location: Remote • Type: 6 month initial contract • Compensation: Approx. $22.50 / hr (W-2 contractor) • Contractor Work Model: 100% remote
We’re seeking a detail-oriented specialist to support health insurance payment integrity (similar to medical appeals processes). You’ll review medical documentation, analyze records, resolve discrepancies, and ensure accurate routing and data entry.
Key Responsibilities
Receive and send faxes
Review and analyze medical records and provider correspondence related to insurance payments
Look up information in internal systems
Process faxes and incoming documentation and update systems accurately
Determine appropriate routing based on documentation and system data
Maintain spreadsheets with detailed notes
Required Qualifications
High School Diploma or GED
3+ years of experience in healthcare, health insurance operations, claims processing, or payment integrity
Proficiency in Microsoft Excel and ability to navigate multiple systems and screens efficiently
Strong analytical, organizational, and data entry skills with attention to detail
Basic understanding of ICD-10, CPT procedure codes, and common insurance denial reasons
Preferred Qualifications
Experience with FACETS system (strongly preferred)
Familiarity with NASCO and SIR systems is helpful
Background in payment integrity or healthcare claims processing
Top Skills
Multi-screen navigation
Data entry
Accuracy and efficiency
System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
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