Payment Accuracy Analyst

A company is looking for a Payment Accuracy Analyst. Key Responsibilities Utilize healthcare experience to perform audit recovery procedures and identify overpaid claims Analyze contracts and reimbursement policies to define issues and ensure compliance with regulations Develop and automate audit recovery report ideas in collaboration with the IT team Required Qualifications High School Diploma or equivalent required; BA/BS in Business Administration or related field preferred 4-5+ years of experience in direct claim processing/reimbursement and medical facility contracts Prior claims auditing or consulting experience in a provider or payer environment is desirable Proficiency in Microsoft Office, particularly Word and Excel; Access is highly preferred Understanding of payment integrity concepts and fraud detection methodologies is a plus

Mar 5, 2025 - 02:02

A company is looking for a Payment Accuracy Analyst. Key Responsibilities Utilize healthcare experience to perform audit recovery procedures and identify overpaid claims Analyze contracts and reimbursement policies to define issues and ensure compliance with regulations Develop and automate audit recovery report ideas in collaboration with the IT team Required Qualifications High School Diploma or equivalent required; BA/BS in Business Administration or related field preferred 4-5+ years of experience in direct claim processing/reimbursement and medical facility contracts Prior claims auditing or consulting experience in a provider or payer environment is desirable Proficiency in Microsoft Office, particularly Word and Excel; Access is highly preferred Understanding of payment integrity concepts and fraud detection methodologies is a plus