Medical Claims Analyst
3 weeks ago
Job Overview:
MetroPlusHealth seeks a skilled Payment Integrity Analyst to join its team. The successful candidate will assist in the development of a comprehensive claim accuracy program and optimize pre/post claim editing, auditing, and claim recovery programs to drive incremental value year over year.
Responsibilities:
- Assist in the development of a payment integrity unit.
- Develop and implement dashboards to monitor performance.
- Analyze departmental performance trends.
- Support the execution of a corporate claim accuracy program.
Qualifications:
- Bachelor's degree required.
- Minimum 5 years' experience within claims in the healthcare or insurance industry.
- Advance level experience with Excel and other data systems.
Estimated Salary: $90,000 - $120,000 per annum based on experience.
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