Payment Integrity Analyst

New

Skills

Claims processing Cross-functional collaboration Data analysis Health care operations Issue resolution Medical coding Payment integrity Provider contracts Reimbursement methods Stakeholder management

The Senior Analyst for Payment Integrity Disputes will play a crucial role in supporting payment integrity disputes and issue resolution. This position involves scoping, triaging, investigating, and implementing improvements to enhance the overall payment integrity process.

Key Responsibilities
  • Support payment integrity disputes and issue resolution.
  • Scope, triage, investigate, and implement improvements.
  • Translate stakeholder friction into actionable opportunities.
  • Collaborate cross-functionally using Oscar's claim workflows and data.
  • Maintain transparency with stakeholders on progress and blockers.
Required Skills & Qualifications
  • 4+ years of experience in payment integrity disputes or appeals.
  • 3+ years in claims processing, coding, or health care operations.
  • 3+ years in medical coding with AAPC CPC or AHIMA CCS/RHIT/RHIA certifications.
  • Knowledge of reimbursement methods and provider contracts.
  • 2+ years deriving insights from datasets.

No forms. Your profile is generated instantly.

Job Type: Remote

Salary: Not Disclosed

Experience: Entry

Duration: Months

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