Payment Integrity Analyst

Job Summary

A company is looking for a Payment Integrity Analyst- COB.

Key Responsibilities

• Investigate and validate coverage details and determine the correct order of liability for claims
• Contact relevant parties to confirm coverage information and document case notes accurately
• Analyze data to identify trends, recommend process improvements, and support payment integrity activities

Required Qualifications

• Bachelor's Degree and/or one year of related healthcare experience
• Minimum of one year of experience in COB investigations and payment integrity casework
• Minimum of one year of experience performing data analytics with large data sets
• Working knowledge of coordination of benefits rules and order-of-liability concepts