Claims Validation Consultant

Rialtic, Inc.(14 days ago)

RemoteFull TimeSenior$95,000 - $125,000Healthcare Technology

About this role

Rialtic is an enterprise software platform that helps health insurers and healthcare providers improve payment accuracy, costs, and quality of care through its claims validation and editing solutions. The company supports the healthcare industry by providing tools that promote compliance, efficiency, and transparency. The role involves healthcare policy interpretation and developing claims editing logic to ensure payment accuracy.

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Required Skills

Healthcare Policy
Claims Processing
Data Validation
Medicare
Medicaid
Coding
Billing
Excel
Regulations
SQL

About Rialtic, Inc.

rialtic.io

Rialtic is a healthcare technology company that provides a cloud-based Payment Accuracy platform to help payers and providers reduce administrative costs and improve payment precision. Their SaaS solution replaces legacy on‑premise systems with user-friendly dashboards, self‑service configuration, automated edits and transparent reporting to streamline workflows and provider collaboration. By combining comprehensive claim edits, analytics, and platform-provided workflow tools, Rialtic aims to increase clarity, contain medical costs, and make the healthcare payment system more efficient.

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