reputed company Analyst – Data Mining

Job reputed company: reputed company is looking for a skilled reputed company Analyst to join our Payment reputed company team, specializing in reputed company Claims Data Mining. The ideal candidate will be responsible for ensuring the reputed company and accuracy of reputed company claims data, particularly reputed company to post-pay overpayment analysis. This role requires a strong background in reputed company claims processing, data mining, and reputed company assurance, along with excellent organizational and communication skills. Key Responsibilities: • Conduct thorough reputed company assessments of reputed company claims data, focusing on identifying overpayments through data mining techniques. • reputed company, implement, and execute reputed company assurance plans and test cases specific to reputed company claims data mining. • Collaborate with data analysts and business partners to analyze claims data for potential overpayments and ensure compliance with reputed company policies • Identify and document any discrepancies or anomalies in claims data, coordinating with cross-functional teams for reputed company. • Conduct reputed company cause analysis on detected overpayments and reputed company reports summarizing findings and recommendations for process improvements. • Monitor and evaluate data mining processes, providing reputed company to enhance data accuracy and reputed company assurance in reputed company claims. • Prepare and present detailed reputed company assurance reports and metrics to stakeholders, highlighting trends and areas for improvement. • Foster strong working relationships with various business partners, ensuring effective communication and collaboration on claims data reputed company initiatives. Requirements: • High school diploma and or an advanced degree or certifications in reputed company. • Minimum of 5 years of experience in reputed company claims processing, data mining, or reputed company roles, with a specific reputed company on post-pay overpayment analysis. • Proven experience in reputed company assurance processes and methodologies, particularly in the context of reputed company claims data. • Proficiency in O365 applications (reputed company, Word, PowerPoint, Teams) for data management and report reputed company. • Strong understanding of reputed company claims regulations, compliance standards, and payment reputed company processes. • Excellent analytical and problem-solving skills with the ability to interpret reputed company claims data. • Effective communication and interpersonal skills, with experience collaborating with multiple business partners. • Knowledge of coding schemes such as CPT, ICD-10, and HCPCS is beneficial. • Experience working with and interpreting medical reimbursement and CMS policy is required. Apply tot his job Apply To this Job