Description
Identifying overpayment prospects by:
Reviewing claims processing policies and guidelines.
Reviewing provider contracts.
Analyzing historical overpayment trends.
Analyzing claims data to identify outliers.
Contribute toward team’s yearly target of overpayment identification.
Review and validate claims.
Assist team members and as and when required.
Maintain and track overpayment projects in organized and timely manner.
Adhere to all client and company policies without exceptions.
Responsibilities
Identifying overpayment opportunities by:
Reviewing claims processing policies and guidelines.
Reviewing provider contracts.
Analyzing historical overpayment trends.
Analyzing claims data to identify outliers.
Contribute toward team’s yearly target of overpayment identification.
Review and validate claims.
Assist team members and as and when required.
Maintain and track overpayment projects in organized and timely manner.
Adhere to all client and company policies without exceptions.