- 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.
- 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.
Bachelor Degree / Postgraduate Degree 3 - 7 Years