Senior Healthcare Payment Integrity Specialist

2 days ago


Chennai, Tamil Nadu, India Steinway Consulting Full time

Hiring for a Senior Healthcare Payment Integrity Specialist at Steinway Consulting, a leading US-based consulting firm in Chennai.

Job Type: Full-time

Location: Chennai

Salary: $65,000 - $85,000 per annum

About the Role

We are seeking an experienced Claims Audit Associate to join our team as a Senior Healthcare Payment Integrity Specialist. In this role, you will be responsible for analyzing paid claims to identify errors and incorrect payments, identifying potential fraud, waste, and abuse in claims submitted by hospitals and providers, creating reports on incorrect claim trends and discrepancies, recommending best practices for payment accuracy, and ensuring adherence to healthcare regulations.

Key Responsibilities
  • Analyze paid claims to identify errors and incorrect payment, and implement corrective actions to prevent future occurrences.
  • Identify potential fraud, waste, and abuse in claims submitted by hospitals and providers, and work with stakeholders to resolve these issues.
  • Create detailed reports on incorrect claim trends and discrepancies, and provide recommendations for process improvements.
  • Develop and maintain relationships with key stakeholders, including clients, vendors, and internal teams.
Requirements

To be successful in this role, you will need:

  • Bachelor's degree in a relevant field, such as healthcare administration or finance.
  • At least 2+ years of experience in payment integrity or claim audit.
  • Strong knowledge of healthcare billing, coding, and reimbursement.
  • Excellent analytical skills and ability to interpret complex data.
  • Certifications like CPC or CHA are a plus.
About Steinway Consulting

Steinway Consulting is a leading US-based consulting firm that provides expert services to the healthcare industry. We are committed to helping our clients improve their business operations and achieve their goals. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.



  • Chennai, Tamil Nadu, India Trademarkia Full time

    Job Title: Global Payment Integration SpecialistEstimated Salary: $120,000 - $180,000 per year.Company OverviewTrademarkia is a leading global visual search engine for trademarked logos, names, and slogans. With a vast database of millions of trademarks and over 120,000 clients worldwide, we provide innovative solutions for trademark searches, filings,...


  • Chennai, Tamil Nadu, India Trademarkia Full time

    Job SummaryWe are seeking a skilled Payments Engineer to lead the integration of localized payment systems into our global platform. As a Global Payments Integration Specialist, you will focus on enabling customers to make payments in their local currency through country-specific payment gateways and methods.About TrademarkiaTrademarkia is a global visual...


  • Chennai, Tamil Nadu, India Trademarkia Full time

    OverviewWe are seeking a skilled Global Payment Integration Specialist to lead the integration of localized payment systems into our websites. The ideal candidate will have expertise in payment APIs, gateway integration, and a deep understanding of regional payment preferences.Key Responsibilities:Payment Gateway Integration:Research, evaluate, and integrate...


  • Chennai, Tamil Nadu, India EXL Health Full time

    About the OpportunityWe are seeking a seasoned Data Insights Strategist to join our team at EXL Health, where you will leverage your analytical expertise to drive business growth and optimization in healthcare payment integrity.This role presents a unique opportunity to work with various payers and providers, reducing provider abrasion and enhancing...


  • Chennai, Tamil Nadu, India EXL Health Full time

    About the RoleWe are seeking a highly skilled Data-Driven Solutions Architect to join our team of data enthusiasts in healthcare payment integrity. In this role, you will have the opportunity to work with various payers and providers, helping to reduce provider abrasion and enhance provider engagement with our innovative solutions.Our team functions as both...


  • Chennai, Tamil Nadu, India Trademarkia Full time

    As a Payments Engineer at Trademarkia, you will be responsible for leading the integration of localized payment systems into our websites.The company offers 24/7 legal support and has an international database of registered and pending trademarks from various regions.You will focus on enabling customers to make payments in their local currency through...


  • Chennai, Tamil Nadu, India Trademarkia Full time

    Company OverviewTrademarkia is a global visual search engine for trademarked logos, names, and slogans. With over 120,000 clients worldwide, we provide free software for trademark searches, filings, monitoring, and legal automation processes.Estimated Salary: $80,000 - $110,000 per yearJob DescriptionRole Summary: We are seeking an experienced Payments...


  • Chennai, Tamil Nadu, India Trademarkia Full time

    We are seeking an experienced International Payments Specialist to join our team at Trademarkia. This role is responsible for leading the integration of localized payment systems into our websites, enabling customers to make payments in their local currency through country-specific payment gateways and methods.The ideal candidate will have a strong...


  • Chennai, Tamil Nadu, India Trademarkia Full time

    At Trademarkia, we are looking for a skilled Payments Engineer to lead the integration of localized payment systems into our websites.Key ResponsibilitiesPayment Gateway IntegrationResearch and evaluate payment gateways compatible with local currencies in specific countries.Enable localized payment methods such as BLIK (Poland), PIX (Brazil), Mercado Pago...


  • Chennai, Tamil Nadu, India VDart Software Services Full time

    Job Overview:Vdart Software Services is seeking a skilled Senior EDIFECS Developer to join our dynamic team.About the Role:This position involves working with clients, gathering requirements, installing and configuring EDIFECS, and overseeing its implementation. The ideal candidate will have strong industry knowledge, excellent communication skills, and...


  • Chennai, Tamil Nadu, India Trademarkia Full time

    About the RoleWe are seeking an experienced Payments Engineer to lead the integration of localized payment systems into our websites. As a key member of our team, you will focus on enabling customers to make payments in their local currency through country-specific payment gateways and methods, ensuring a seamless experience for users globally.


  • Chennai, Tamil Nadu, India myGwork Full time

    Job Description:We are seeking a skilled Senior Payment Quality Assurance Specialist to join our ONAmazon team in the Middle East.About Us:myGwork, an inclusive employer and member of myGwork – the largest global platform for the LGBTQ+ business community, empowers Amazonians to deliver exceptional results for customers. As part of our diverse team, you...


  • Chennai, Tamil Nadu, India Omega Healthcare Management Services Full time

    We are seeking a highly skilled Clinical Data Specialist to join our team at Omega Healthcare Management Services.About the Role:The Clinical Data Specialist will be responsible for performing complex data abstraction and data entry for specified disease and project requirements. This involves maintaining a high level of medical knowledge and terminology, as...


  • Chennai, Tamil Nadu, India Chargebee Full time

    About ChargebeeWe are a subscription billing and revenue management platform powering top brands around the world, including Calendly, Hopin, Pret-a-Manger, Freshworks, Okta, Study.com and others.Our 500+ team members work remotely throughout the world, delivering high-quality software to enable our customers to grow their revenues powered by the...


  • Chennai, Tamil Nadu, India CBTS Full time

    Job OverviewThe CBTS Senior Integration Specialist plays a pivotal role in designing, developing, and implementing sophisticated data integration solutions using AppConnect as the primary tool. This position demands strong technical proficiency, problem-solving abilities, and a proven track record in delivering complex integration projects.


  • Chennai, Tamil Nadu, India CBTS Full time

    **Job Title:** Senior Data Integration Specialist**About CBTS:We are a leading provider of IT services and solutions, helping our clients achieve their business goals through innovative technology.**Job Summary:We are seeking a highly skilled Senior Data Integration Specialist to join our team. As a key member of our IT department, you will be responsible...


  • Chennai, Tamil Nadu, India Brillio Technologies Pvt. Ltd. Full time

    Job Title: Senior IT Operations Manager - Payment Gateway SpecialistAbout Us:Brillio Technologies Pvt. Ltd is a leading provider of digital technology solutions, helping businesses drive innovation and growth.Job Summary:We are seeking an experienced Senior IT Operations Manager to lead our payment gateway team in delivering high efficiency and productivity....


  • Chennai, Tamil Nadu, India Thryve Digital Health LLP Full time

    About Thryve Digital Health LLPThryve Digital Health LLP is a pioneering global healthcare partner that delivers strategic innovation, expertise, and flexibility to its healthcare partners. As a US healthcare conglomerate captive, we have direct access to deeper insights that enable us to accelerate our learning process and stay ahead of the curve.We deliver...


  • Chennai, Tamil Nadu, India Gainwell Technologies Full time

    About the RoleWe are seeking a skilled Healthcare Data Transformation Specialist to join our team at Gainwell Technologies. In this role, you will play a critical part in transforming healthcare data and ensuring seamless integration with various systems.Job DescriptionThe successful candidate will be responsible for:Creating accurate mapping documents...


  • Chennai, Tamil Nadu, India IGT Solutions Full time

    We are seeking an experienced Senior Business Integration Specialist to join our team at IGT Solutions in Chennai. The successful candidate will be responsible for designing, developing, and maintaining integration solutions using BizTalk Server.As a Senior Business Integration Specialist, you will collaborate closely with cross-functional teams to...