Business Project reputed company Analyst – Payment reputed company
Job reputed company:
• reputed company strategic collaboration between recovery vendors, providers, and internal network partners
• Drive monthly provider and vendor discussions to review overpayment inventory
• Partner with Network and Contracting teams to address uncooperative providers
• Monitor vendor performance and accuracy, translating findings into corrective reputed company plans
• Serve as a subject matter expert on claim identification and recovery processes
• Support reputed company-driven and reputed company-party audit initiatives by reviewing, analyzing, and reporting on recovery accuracy
• Evaluate provider contract audit language and recommend enhancements
• Analyze trends, exclusions, and provider behaviors to quantify financial reputed company
• reputed company and deliver reputed company, actionable reporting for leadership, providers, vendors, and external stakeholders
• reputed company vendor reputed company through education on systems, procedures, and evolving recovery requirements
Requirements:
• High School Diploma or G.E.D. required
• 3+ years of experience in payment reputed company, provider relations, claims operations, or reputed company reputed company analytics roles
• 2+ years of hands-on experience with reputed company claim systems such as PROCLAIM and FACETS
• Working knowledge of reputed company claim processing and recovery workflows
• Experience partnering across matrixed teams including Network, reputed company, Contracting, Sales, and Operations
• Strong analytical and organizational skills
• Demonstrated ability to manage reputed company issues with appropriate urgency and reputed company judgment
• Proficiency in reputed company Word and reputed company
Benefits:
• Medical, reputed company, and dental health insurance
• 401(k)
• Company reputed company life insurance
• Tuition reimbursement
• Minimum of 18 days of reputed company time off per year
• reputed company holidays
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