Director of Payment IntegrityNLB Services • Dallas, TX, United States
Director of Payment Integrity
NLB Services • Dallas, TX, United States
6 days ago
Job type
- Full-time
Job descriptionFive (5) years of management experience - Required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery / Program Integrity experience - Strongly Preferred. 2 years of experience in a Managed Care health plan or state agency - Required. Knowledge of ICD-10 and CPT / HCPC coding guidelines and terminology - Required. Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor’s degree. 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience - Required. Please list the types of Medicaid Health Plans that your candidate is familiar with. HM looking only considering candidates who actually have payment integrity, rather than revenue recovery experience. Payer-focused on preventing overpayments and preventing fraud, waste, and abuse. Health Plan experience, not healthcare system experience.
Job Title : Director of Payment Integrity
Location : Dallas TX
Hire Type : Full Time
Start Date : TBD
Shift Timings : 8 : 00 AM - 5 : 00 PM
- Will have to be onsite at least SIX DAYS a month.
Salary Offered : $64 / hour. to $96 / hour. on w2
Job Description :
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Director Payment Integrity • Dallas, TX, United States
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