The Payment Integrity Specialist provides outsourced claims audit and recovery services to private health insurer clients using HIBIS leakage detection software and provide expert feedback to improve Cotiviti Australia solutions.
Deliver value to clients by using HIBIS to detect and recover claims leakage
Provide insights into hospital billing practices that will improve the Companys ability to detect and recover leakage
Improve HIBIS rule yield by recommending new and/or improved rules
Support the growth of the Recoveries Service by supporting business development activities
Strictly respect the confidentiality of all sensitive company and client information
Complete all responsibilities as outlined on annual Performance Plan.
Complete all special projects and other duties as assigned.
Must be able to perform duties with or without reasonable accommodation.
This job description is intended to describe the general
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