Payment Integrity Associate

A company is looking for an Associate, Payment Integrity to join their Payment Integrity team.

Key Responsibilities

Provide subject matter expertise on Payment Integrity claims processing and reimbursement policies

Lead Coordination of Benefits efforts within the payment integrity department

Document coding rules and provide recommendations on reimbursement policy language

Required Qualifications

A bachelor's degree or 4+ years of relevant experience

4+ years of experience in claims processing, coding, auditing, or health care operations

4+ years of experience in Payment Integrity

Experience with reimbursement methodologies and common claims processing practices