Uncommon Life | St. Joseph, MO

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Remote - Payment Validation Analyst

ML

Mosaic Life Care

IT
USD 54,038.4-81,057.6 / hour
Posted on Dec 30, 2025

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care.

Mosaic has a wide array of benefits to meet each employee’s individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.

Details
  • Remote - Payment Validation Analyst
  • PFS Billing-Follow Up-Denials
  • Full Time Status
  • Day Shift
  • Pay: $54,038.40 - $81,057.60 / hour
Summary
  • Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time.
  • Responsible for ensuring accurate payment is received from payors, including line level payment validation where appropriate.
  • This position works under the supervision of the Director of Revenue Integrity, and is employed by Mosaic Life Care.
Duties
  • Responsible for analyzing contractual underpayments. Identify and resolve daily encounters holding in Epic WQs for contractual underpayments. Identify root cause and work on corrective action implementation.
  • Responsible for resolving encounters in Epic WQ for price/contract discrepancy. Identify root cause and work with CDM Analyst/Revenue Integrity Analyst to implement fee schedule correction, and/or identify root cause causing the discrepancy.
  • Works on rebill projects focused on recoupment of underpayments.
  • Subject matter expert regarding payer reimbursements and contracts. Be informed of changes to payer reimbursement and work with CDM Analyst and/or Revenue Integrity Analysts to implement changes, if and as needed.
  • Other duties as assigned
Qualifications
  • Bachelor's Degree, and H.S. Diploma are both required.
  • 5 Years of Health care experience. Minimum five years' experience and knowledge of hospital financial operations including reimbursement, Medical Billing, Charge Master Development and Maintenance, Medical Records/Coding and Charge Audit experience is required. 5 Years of Broad based knowledge of hospital financial operations including reimbursement, coding and charge master development and maintenance is required. 5 Years of In-depth knowledge of CPTs, HCPCs and ICD-10 medical coding, and related APC Medicare reimbursement is required.
  • Epic Contracts Module Certification is preferred.