Note: The job is a remote job and is open to candidates in USA. RemHive LLC is an AI healthcare technology startup focused on improving revenue cycle operations for healthcare providers. They are seeking a senior Payment Integrity professional to assist in shaping product strategy and validating workflows as part of an ongoing consulting engagement.
Responsibilities
- Work directly with our founding team to help shape product strategy
- Validate workflows
- Provide domain expertise as we build and test new capabilities
Skills
- Payment Integrity
- Pre-Pay Review
- Medical Claims Adjudication
- Clinical Claims Review
- Claims Examination
- Coding Policy
- Provider Appeals
- Commercial Payer Operations
- Years of payment integrity experience
- Current or previous employer(s)
- Areas of expertise (pre-pay, post-pay, coding, clinical review, appeals, etc.)
- Hourly consulting rate
- Availability
- Experience at organizations such as UnitedHealthcare, Elevance/Anthem, Aetna, Cigna, Humana, Molina, BCBS plans, Optum, Cotiviti, Machinify, Zelis, Rawlings, or similar organizations
Benefits
- Flexible hourly consulting role
- Potential for a longer-term relationship
Company Overview