Payment Intelligence Consultant
3 days ago
AArete is seeking a highly skilled Payment Intelligence Consultant to join our team. As a Payment Intelligence Consultant, you will be responsible for leading Payment Intelligence in client delivery, reporting into a Payment Intelligence Manager, and serving as a subject matter expert on practices to help our clients ensure proper claims payment.
Key Responsibilities:
- Lead the development, identification, and root cause of payment accuracy opportunities through enhancing tactics and communicate/coordinate remediation with client counterparts
- Utilize claims analytics to uncover payment accuracy opportunities through your knowledge of standard payment methodologies, including Prospective Payment Systems (IPPS/OPPS), fee for service, Groupers, RUG, etc.
- Support the advancement of AArete's Payment Intelligence initiatives to drive greater automation to claims payment
- Identify areas of opportunity for Payment Intelligence by staying up to date on current events, changes in regulatory requirements, and market trends
- Prepare deliverables for final review with engagement manager
- Exercise excellent judgment and clear and direct communications in all aspects of your work
Requirements:
- Minimum 1.5+ years experience in healthcare payment accuracy related role either in consulting, provider revenue cycle, a payment integrity/accuracy vendor, or within a payer organization
- Strong professional communication skills, including written, verbal, interpersonal, and in-person presentation expertise
- Experience coaching and mentoring team members
- Advanced proficiency utilizing Microsoft Excel and basic/intermediate SQL for data analysis
- Strong analytical, data analysis, and interpretation skills, and ability to learn methodologies to identify client savings opportunities and put together an actionable business case
- Bachelor's degree or equivalent
- Direct client interaction, including possible travel to client location
- Must be legally authorized to work in the United States without the need for employer sponsorship
About AArete:
AArete is a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and advisory services. Our cross-industry solutions are powered by modern technology, market intelligence, and big data to drive purposeful change and actionable outcomes.
AArete is guided by our deeply embedded principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. We are proud to have earned a Great Place to Work Certification and named one of America's Best Management Consulting Firms by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, Consulting Magazine's Fastest Growing Firms.
AAP/EEO Statement: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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