Revenue Integrity Specialist

Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. As a Revenue Integrity Specialist, you will help provider clients identify and prevent revenue leakage across the revenue cycle. You will review charge capture, billing workflows, payer reimbursement, and account activity to identify discrepancies and opportunities for improved accuracy, compliance, and reimbursement.

WHAT YOU WILL DO

• Review charge capture and billing workflows to identify missed or inaccurate charges

• Analyze claims, payments, adjustments, and reimbursement data to identify revenue discrepancies

• Identify potential revenue leakage and recommend corrective actions

• Review payer reimbursement against contracted rates and established billing guidelines

• Investigate underpayments, incorrect adjustments, and other payment discrepancies

• Collaborate with billing, coding, payment posting, and AR teams to resolve revenue-related issues

• Monitor recurring billing and reimbursement trends and identify opportunities for process improvement

• Prepare reports and communicate findings and recommendations to internal teams and client stakeholders

• Support audits and reviews related to charge capture, billing accuracy, and reimbursement

WHAT WE ARE LOOKING FOR

• 2+ years of experience in revenue integrity, healthcare revenue cycle management, medical billing, or a related healthcare finance role

• Strong understanding of healthcare billing, claims, payments, and reimbursement processes

• Experience analyzing charges, payments, adjustments, and payer reimbursement

• Ability to identify discrepancies and investigate the root cause of revenue leakage

• Strong analytical and problem-solving skills with excellent attention to detail

• Ability to interpret billing and reimbursement data and communicate findings clearly

• Strong understanding of payer requirements and healthcare revenue cycle workflows

• Ability to work independently and manage multiple priorities in a remote environment

• HIPAA-compliant private workspace

NICE TO HAVE

• Experience reviewing payer contracts or reimbursement rates

• Medical coding or billing knowledge

• Experience with Epic, Athena, eClinicalWorks, or another major EMR or practice management system

• Experience with revenue cycle reporting and data analysis

• Experience working with provider groups or hospitals

COMPENSATION AND BENEFITS

Compensation will be discussed during the interview and will reflect the candidate’s experience, qualifications, and relevant healthcare revenue cycle expertise.

Benefits and additional employment details will be discussed during the hiring process.

HIRING PROCESS

Application review → introductory conversation → hiring manager interview → offer.

EQUAL OPPORTUNITY

Raventra Health is an equal opportunity employer. We consider all qualified applicants without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. If you need an accommodation at any stage of the hiring process, please contact us and we will work with you to provide appropriate support.

Location: Remote