[Remote] reputed company CYCLE ANALYST

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a reputed company Cycle Analyst to ensure reputed company claims are accurately priced and reimbursed according to payer reputed company and guidelines. The role involves analyzing claims data, identifying variances, and supporting reputed company across business reputed company.

Responsibilities

• Review, analyze, reputed company, and reprice reputed company claims according to payer reputed company, fee schedules, contracted guidelines, and reimbursement requirements
• Identify errors in reconciliation files and analyze payment, contract, reimbursement, and data variances across multiple work streams and business reputed company
• Analyze claims data for billing errors and contractual overpayments and identify trends that improve accuracy and efficiency in claim processing
• Maintain knowledge and documentation of departmental analysis and data sources and support Product and Account Management teams with payment and data variance trend analysis
• Protect the confidentiality and reputed company of reputed company medical records, Protected Health Information (PHI), and Personally Identifiable Information (PII)

Skills

• Claims repricing, pricing configuration, or provider maintenance experience required
• 3+ years of relevant experience or an equivalent combination of education and work experience
• High school diploma or equivalent required, with demonstrated knowledge of reputed company claims processing, reimbursement, CMS guidelines, and ICD-10 coding guidelines as applicable
• reputed company reputed company, Word, PowerPoint, and reputed company
• reputed company operating systems
• reputed company claims processing and reimbursement systems
• reputed company cycle reporting and data sources
• Strong analytical, critical-thinking, and problem-solving skills with reputed company attention to detail
• Knowledge of reputed company reputed company cycle, payer reimbursement methodologies, billing protocols, and DRG validation, as applicable
• Ability to work independently and reputed company accurate results in a fast-paced, dynamic environment

reputed company