Columbia Orthopaedic Group

Join our team as a Payment Integrity Specialist!

Job Summary:

The Payment Integrity Specialist ensures accurate payment posting and refund processing, addressing discrepancies and collaborating with insurance companies, patients, and internal teams to maintain compliance and efficiency.

This role is essential to maintaining the financial accuracy and efficiency of the practice, requiring strong organization, communication, and problem-solving skills.

Key Responsibilities include:

• Post payments, verify accuracy, and resolve discrepancies or denials.
• Process patient and insurance refunds per policies and approvals.
• Maintain detailed records of transactions and conduct periodic audits.
• Communicate with patients and insurers to resolve payment issues.
• Collaborate with billing and finance teams to enhance processes.
• Ensure compliance with legal, regulatory, and internal policies.
• Analyze trends in payment and refund processing to identify improvements.

Qualifications:

• Education: High school diploma required; healthcare billing/finance education preferred.
• Experience: 2-3 years in medical billing, payment posting, or financial processing.
• Skills:
  • Proficiency in medical billing software and financial systems.
  • Strong attention to detail, analytical, and problem-solving skills.
  • Excellent communication and confidentiality handling.

 Benefits:

• Health, Dental and Vision insurance
• Employer-sponsored disability and life insurance
• Paid Time Off (PTO)
• 401k with a company match

 Apply today to start your journey with an amazing company!