Payment Accuracy Analyst

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