ODAR Resolution Analyst

4 weeks ago


New York, New York, United States MedReview Full time
Job Overview

MedReview is a leading authority in payment integrity solutions, and we're seeking a skilled ODAR Resolution Analyst to join our team. As a key member of our team, you will be responsible for monitoring, triaging, and resolving audited claims to ensure accurate and timely resolution.

Key Responsibilities
  • Monitor and triage audited claims to identify action needed to facilitate resolution
  • Research and validate assigned Prepay audit inventory to confirm status and savings attribution
  • Collaborate with internal departments to ensure advancement of tasks and resolution of account issues
  • Work with our reporting team to ensure timely production and validation of PrePay savings reporting
  • Provide support for client reporting, inventory oversight, and Shared Services as assigned
Requirements
  • 3+ years of experience in Inpatient Claim Billing or Inpatient Claim Adjudication
  • Knowledge and experience in healthcare claims processing
  • Strong working knowledge of Microsoft Excel
  • Proven ability to oversee simultaneous workflows with strong attention to detail
  • Analytical skills demonstrating ability to collect, track, and analyze data
  • Demonstrated ability to communicate and collaborate with Operational stakeholders
Preferred Qualifications
  • Ability to adapt quickly to learn use of payment integrity vendor management software applications
  • Experience and knowledge with healthcare claims payment integrity
Benefits and Perks
  • Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options
  • 401(k) with Employer Match - Invest in your future
  • Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you're not feeling well
  • Wellness - We care about your well-being
  • Learning & Development - Through continued education/mentorship on the job and our investment in LinkedIn Learning

Salary: $25/hr- $30/hr



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