Revenue Integrity Specialist - 100% Remote

JOB TITLE: HEALTHCARE REVENUE INTEGRITY SPECIALIST STATUS: FULL-TIME NON-EXEMPT DIRECT HIRE LOCATION: REMOTE (ANYWHERE IN THE UNITED STATES) TARGET PAY RATE: $25.00-$29.00 PER HOUR

We’re a fast-growing, fully remote healthcare organization on a mission to improve access to care—and we know our people make that possible. As we expand, we are adding a new role to our leadership team. We are seeking a Healthcare Revenue Integrity Specialist who will be responsible for reviewing daily payment batches, reconciling them against bank deposits, validating payer and claim accuracy, and supporting month-end close activities. The position ensures compliant documentation, supports audit readiness, and identifies opportunities to improve payment integrity and revenue cycle accuracy.

** NOTE: Candidates with payment posting experience and have various medical billing certifications will get first review. **

About Expressable Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients since our inception in late 2019. We are passionate advocates of parent-focused intervention. Our e-learning platform contains thousands of home-based learning modules authored by our clinical team, helping SLPs empower caregivers to integrate speech therapy techniques into their child’s daily life and improve outcomes. Our mission is to set a new standard in speech therapy by making every caregiver a champion of their loved one’s success. We envision a world where everyone can fulfill their communication potential.

The Healthcare Revenue Integrity Specialist is responsible for reviewing daily payment batches, reconciling them against bank deposits, validating payer and claim accuracy, and supporting month-end close activities. The position ensures compliant documentation, supports audit readiness, and identifies opportunities to improve payment integrity and revenue cycle accuracy.

WORK AUTHORIZATION: We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas at this time.

What You Would Be Doing at Expressable

• Reconcile daily payment batches in Candid against bank deposits, resolving unapplied or unmatched items.

• Audit claim and payment data for accuracy, proper denial status, and correct payer assignment.

• Validate reimbursement amounts against contracted fee schedules and expected payments.

• Monitor deposit aging, adjustment codes, and denial patterns; escalate discrepancies or unusual trends.

• Maintain accurate reconciliation documentation and ensure audit readiness.

• Prepare and share denial feedback and reconciliation summaries to support process improvements.

• Verify reconciliations and reports for month-end close and financial accuracy.

• Assist with payment integrity projects, such as underpayment reviews and payer audits.

• Collaborate with Billing, Quality, and Compliance to refine processes and enhance revenue accuracy.

• Present reconciliation findings and payer insights in revenue review meetings.

What You Bring to Expressable

** NOTE: Candidates with payment posting experience and have various medical billing certifications will get first review. **

• Education/Experience: Associate’s or bachelor’s degree in accounting, finance, healthcare administration, or related field preferred.

• Experience: 2–3 years of experience in payment reconciliation, healthcare billing, or revenue cycle operations.

• Technical Skills: Proficiency with EHR/RCM platforms (e.g., Candid, Availity, Waystar), Excel/Google Sheets, and payment posting systems.

• Analytical Skills: Strong attention to numerical accuracy, ability to interpret payer remittance advice, and comfort with variance analysis.

• Regulatory Knowledge: Understanding of HIPAA, PCI, and healthcare payer requirements.

• Preferred: Experience in multi-state telehealth or large outpatient provider environment. Any Medical Billing/ Coding Certifications. Any Payment Posting experience is highly desired.

KEY COMPETENCIES In addition to the competencies associated with our core values of empowerment, integrity, innovation, collaboration, and diversity, the Financial Clearance Coordinator should possess the following key competencies.

• Analytical Accuracy – Demonstrates high attention to detail in reconciling complex financial data and identifying discrepancies.

• Problem Solving & Initiative – Investigates root causes and recommends proactive resolutions to prevent recurring issues.

• Accountability & Organization – Manages daily workflows and meets reconciliation deadlines with minimal oversight.

• Collaboration & Communication – Works effectively with finance, billing, and compliance teams to ensure transparency and resolution.

• Integrity & Compliance – Maintains confidentiality and upholds strict adherence to internal controls and regulatory standards.

Physical Requirements and Work Environment This is a sedentary, remote position that primarily involves working at a computer or tablet for telecommunications and documentation. The role requires the ability to remain seated for extended periods, operate standard office equipment, communicate effectively via video and audio platforms, and review electronic information. Occasional light lifting of up to 10 pounds may be necessary. Work is performed in a home office environment with minimal exposure to environmental hazards. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

Why Join Us?

• Exceptional paid time off policies that encourage and support life balance, including a winter break.

• 401k matching to ensure our staff have what they need to enjoy their retirement

• Health insurance options that ensure well being for the whole person and their family

• Company paid life, short-term disability, and long-term disability coverage

• Remote work environment that strives for connectivity through professional collaboration and personal connections

NOTE Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

More about Expressable Expressable values people. From the technology we develop, the services we provide, and the culture we maintain, Expressable cares about the experience of our employees, clients, and prospects. We intentionally create and sustain supportive environments in which everyone - clients, caregivers, speech-language pathologists, and team members - can achieve their highest potential.

We believe that building trusting and collaborative relationships is paramount to delivering quality care so we operate with the highest levels of honesty, transparency, and accountability as individuals and a collaborative team. We believe that transforming therapy happens through the steady and iterative problem solving of an interdisciplinary team.

Expressable is an equal opportunity workplace. We celebrate and embrace diversity and are committed to building a team that represents a broad tapestry of backgrounds, perspectives, and skills.

Expressable is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Expressable will take the steps to ensure people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at hr@expressable.io.

E-Verify

Federal law requires all employers to verify the identity and employment eligibility of all person hired to work in the United States. Expressable participates in E-Verify.

E-Verify Participation Poster https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

E-Verify Right to Work Poster https://www.everify.gov/sites/default/files/everify/posters/IER_RightToWorkPoster%20Eng_Es.pdf