Job Summary
A healthcare provider is searching for a person to fill their position for a Telecommute Concept Ideation Analyst or Payment Integrity Analyst.
Candidates will be responsible for the following:
- Providing guidance and assistance to the Validation Auditors
- Validating claim overpayments
- Assisting in the review of provider appeals
Applicants must meet the following qualifications:
- 2 plus years of experience working in a payer/provider claims system
- Requires 5 plus years of experience in health insurance contract interpretation and claim reimbursement auditing
- Requires in-depth knowledge of claim coding
- Strong working knowledge of claim reimbursement concepts
