Junior Payment Integrity Analyst
CoverSelfJayanagar, BangalorePosted a month agoA free account shows the apply link for every role and matches you to the ones that fit your resume.
About the role
CoverSelf provides a cloud-native platform to help US healthcare payers identify inaccuracies in claims and payments. This analyst will develop clinical payment rules, translate payer policies into business logic, and help test configured solutions.
What you'll do
- Develop and maintain payment integrity rules, edits, and policies
- Translate payer guidelines into business rules
- Build code edits to detect incorrect payments
- Research medical policies and reimbursement methods
- Configure, test, and validate payment integrity solutions
Skills
Must have
- Clinical concepts
- Clinical guideline interpretation
- Medical literature research
- Payment integrity rules
- Medical coding
Who it's for
- Experience
- 0 to 1 years
- Domain
- healthcare claims payment integrity
About CoverSelf
CoverSelf has 4 open roles in Bangalore, at CoverSelf Bengaluru. See every CoverSelf role.
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