Remote Quality Assurance and Operations Payment Integrity Analyst

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Mon, May 25, 2020

This job expires in 19 days

Job Category: Financial, Healthcare

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Employer Type: Employer

Career Level: Experienced

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