Revenue Integrity Specialist I Baptist Health remote work United States, Indiana, Charlestown 7725 Indiana 62 (Show on map) Aug 25, 2026

Summary Job Description:

Baptist Health is looking for a Revenue Integrity Specialist I to join our team! This is a remote work position that requires residency in KY or IN Research denials or audits from all commercial and governmental payors. Performs payor compliancereview on accounts to determine medical necessity of services, pre and post service as well as pre andpost billing. Obtains predeterminations, prior authorizations, and retro authorizations when required by payor. Responds to all account reviews with the best possible efforts to ensure reimbursement,recover outstanding revenue, and prevent future revenue loss while meeting all appropriate payor orgovernment timelines. Recovery efforts include but are not limited to written letter, email, web site, andtelephonic communication.

Qualifications:

Bachelor's Degree in related field, Practical Nurse License, or Coding Certification with two years of healthcare experience In lieu of Bachelor's degree, five years of healthcare experience required including two years in a revenue cyclerelated area such as registration, patient financial services, or managed care. Requires knowledge of medical terminology; payor reimbursement guidelines (authorization / notification, medical necessity,and timely filing guidelines); payor denial appeal / payment variance resolution processes; and managed care contracts. Individuals working with payor audits must have a keen understanding of all audit response requirements and timelines If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer.