Description:
Payment Accuracy Analyst
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Payment Accuracy Analyst
Job Description:
The Sagility Payment Integrity Team is currently hiring a Payment Accuracy Analyst to join our team. This is a market/ client facing role responsible for identifying new audit opportunities, researching new pricing methodologies, and engaging with various work teams to generate systems automation and enhancement capabilities in our state-of-the-art audit workstation.
This role identifies, develops, and implements new concepts that recognize incorrect payments. These concepts are developed based on industry experience, regulatory research, and the ability to analyze medical claim data to discover incorrect payments. Payment Accuracy Analysts are responsible for analyzing client data and generating high quality recoverable claims, assisting in the identification, validation, and documentation of moderate to more complex recovery projects.
Education:
High School Diploma or equivalent required. BA/BS in Business Administration or related field or equivalent preferred but not necessary
Experience:
4 -5+ year’s knowledge of direct claim processing/reimbursement, medical facility contracts, fee schedules, inpatient/outpatient/physician claims required
Mandatory Skills:
Preferred Skills:
Roles & Responsibilities:
Sagility Offers Competitive Benefits Including:
Join our team, we look forward to talking with you!
Organization | Confidential |
Industry | Management Jobs |
Occupational Category | Payment Accuracy Analyst |
Job Location | Dubai,UAE |
Shift Type | Morning |
Job Type | Full Time |
Gender | No Preference |
Career Level | Experienced Professional |
Experience | 4 Years |
Posted at | 2024-09-26 5:07 am |
Expires on | 2024-12-25 |