ODAR Resolution Analyst
4 weeks ago
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
- 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
- Ability to adapt quickly to learn use of payment integrity vendor management software applications
- Experience and knowledge with healthcare claims payment integrity
- 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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