Payment Validation Analyst - hybrid role - Lynn Massachusetts

Company: Element Care
Location: Lynn, Massachusetts
Posted On: 04/28/2024

The Payment Validation Analyst evaluates claim issues due to billing errors, coding edits, rejections, denials, and payment variances. This position is responsible for updating payment system with rate changes and performing data validation. ESSENTIAL RESPONSIBILITIES: Updates payment system with rate changes and performs data validation to ensure billing integrity.Performs data analysis on claim payments and troubleshoots discrepancies. Assists with the resolution of payment discrepancies.Responds to provider inquiries regarding claim submission and status.Ability to analyze and challenge health care claim adjudication results.Performs other duties as required. JOB SPECIFICATIONS: Associate or Bachelor's degree or equivalent work experience.Understanding of Health care claims adjudication processes, logic, and data. Understanding of Health industry diagnosis, procedure and revenue codes and their application.Proficient with Microsoft Excel, Access and SQL or other database software.Demonstrated analytical, problem solving and critical thinking skills.Excellent communication and presentation skills.Highly self-motivated and able to work well in a fast-paced environment.Proof of Covid vaccine EEO StatementElement Care is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability.Element Care is committed to valuing diversity and contributing to an inclusive working environment PIf0a23b2d5eac-25660-33572803 More...

Register an account with us and set up job agents! We'll email you immediately when jobs like this are posted on our site.