Job Summary
A leading healthcare company has an open position for a Remote Overpayment Senior Analyst.
Candidates will be responsible for the following:
- Auditing paid claims data to identify case overpayments
- Using pertinent data and facts to identify and solve a range of problems within area of expertise
- Examining, assessing, and documenting business operations and procedures
Must meet the following requirements for consideration:
- High School Diploma / GED ( or higher) and 4 - 6 years relevant experience
- 3+ years of experience in healthcare (billing, coding, or auditing claims)
- 2+ years of experience with claims processing or adjudication systems
- 2+ years of data analysis experience
- Knowledge of Medicare, Medicaid and / or Commercial health plan and payment methodology
- Project management approach with excellent critical thinking and problem - solving skills