Senior Healthcare Payment Integrity Specialist
2 days ago
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 RoleWe 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.
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.
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.
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