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Payment Integrity Analyst
A company is looking for a Payment Integrity Business Analyst who will focus on analyzing and improving payment processes within a healthcare organization. Key Responsibilities Analyze claims data to identify trends and discrepancies, validating potential overpayments Review and reconcile payment discrepancies, collaborating with Claims and Billing teams Identify business requirements for process improvements and collaborate with IT for implementation Required Qualifications Bachelor's degree 5+ years of experience with healthcare reporting and analytics Understanding of claims processing and the lifecycle of a claim Knowledge of healthcare economics and CMS regulations Experience with State Medicaid pricing
A company is looking for a Payment Integrity Business Analyst who will focus on analyzing and improving payment processes within a healthcare organization.
Key Responsibilities
Analyze claims data to identify trends and discrepancies, validating potential overpayments
Review and reconcile payment discrepancies, collaborating with Claims and Billing teams
Identify business requirements for process improvements and collaborate with IT for implementation
Required Qualifications
Bachelor's degree
5+ years of experience with healthcare reporting and analytics
Understanding of claims processing and the lifecycle of a claim
Knowledge of healthcare economics and CMS regulations
Experience with State Medicaid pricing
