Working as a part of our Payment Integrity Practice, the Payment Integrity Specialist provides claims audit and recovery services to our private health insurer clients and provide expert feedback to improve our compliance solutions.
Assess healthcare claims on behalf of our private health insurance clients to detect and recover overpayment.
Review clinical documentations submitted by providers
Provide insights into hospital billing practices that will improve the Companys ability to detect and recover overpayments
Support the growth of the Payment Integrity Practice 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
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