Job Summary
needs applicants for an opening for a .
Core Responsibilities Include:
- Analyzing and validating findings for approved scenarios
- Tracking all recoveries by opportunity
- Analyzing correspondence to identify strategies that determine future pipeline opportunities
Applicants must meet the following qualifications:
- High School Diploma/GED
- 5 years of healthcare (Medicare, Medicaid, Commercial) Payment Integrity or program integrity experience
- Experience working with Hospital and Provider Billing Departments
- In-depth knowledge of medical billing and coding
- Knowledge of payment integrity services
- In-depth knowledge of Medical Claims processing