Medical Claims Analyst

3 weeks ago


New York, New York, United States MetroPlusHealth Full time

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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