Payment Integrity Consultant

Job Summary

A company is looking for a Payment Integrity Consultant.

Key Responsibilities

• Become an expert in assigned clients' payment systems and policies
• Identify issues with client overpayments through advanced analysis of client data
• Document new concepts and train internal analysts on identification and correct payment calculations

Required Qualifications

• High School Diploma / GED
• 3+ years of experience reviewing claims data with contractual reimbursement and payment policy review
• 2+ years of experience analyzing data to identify new overpayment or cost-saving opportunities
• 2+ years of experience working as a claims auditor independently
• Advanced Microsoft Excel experience or basic SQL scripting experience