Payment Accuracy Analyst

Location: Remote
Compensation: Salary
Staff Reviewed: Fri, Jun 07, 2024
This job expires in: 14 days

Job Summary

A company is looking for a Payment Accuracy Analyst.

Key Responsibilities:
  • Review claims for potential overpayments and ensure high quality standards
  • Locate and review client provider agreements for configuration into the Claims Repricing System
  • Analyze reimbursement policies and regulations to identify incorrect payments

Required Qualifications:
  • Bachelor's Degree preferred
  • 4+ years of healthcare claims auditing experience
  • Understanding of inpatient and outpatient claim processing/reimbursement
  • Familiarity with reimbursement methodologies such as APR-DRG, MS-DRG, APC, EAPG, per diem
  • Proficiency in Microsoft Office applications

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