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Remote Payment Integrity Lead, Quality & Appeals

CorVel Fort Worth, Texas, US

About the Role

A leading healthcare solutions firm seeks a Payment Integrity Supervisor to oversee daily operations of the payment integrity team. Responsibilities include managing quality assurance measures and resolving provider appeals. The ideal candidate will also ensure compliance with healthcare auditing standards and maintain a focus on improving service delivery. This remote position requires strong experience in claims processing and excellent communication skills. Candidates must hold an Associate Degree in Nursing and RN licensure. #J-18808-Ljbffr

Responsibilities

  • Oversight of daily payment integrity operations
  • Manage quality assurance measures
  • Resolve provider appeals

Qualifications

  • Associate Degree in Nursing
  • RN licensure
  • Healthcare auditing compliance

Required Skills

claims processing quality assurance communication skills remote work healthcare quality

Keywords

payment integrity healthcare claims remote RN

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