. WHAT YOU WILL EXPERIENCE IN THIS POSITION: The Risk Analyst supports the Risk & Insurance Department, responsible for the global procurement...) to ensure accurate reporting, coding, and escalation of claims; track claim progress and maintain compliance documentation...
Group (DRG) Quality Analyst. This is a remote office opportunity. The Quality Analyst IV oversees work performed by the... Clinical DRG auditors to ensure that EXL's standard of accuracy is met. The analyst undertakes a quality review of random...
(CVA) Quality Analyst. This is a remote office opportunity. The Quality Analyst IV oversees work performed by the... Clinical DRG auditors to ensure that EXL's standard of accuracy is met. The analyst undertakes a quality review of random...
with payment integrity practices and related operations preferred Possess strong data/analytic, financial, and process experience...Job Category: Business and Data Analysis Job Description: Your Role The Payment Integrity team is responsible...
, and customer satisfaction. Our operations bring legitimacy to the cannabis industry by acting with the highest level of integrity... with a focus on quality and consistency of product, and to bring legitimacy to the industry with the highest level of integrity...
resulting from over/under payment practices and factoring these into actual-to-expected results. Assist in the development... and isolate variances resulting from over/under payment practices and factoring these into actual-to-expected results. Assists...
Summary: Develop/gather business requirements for queries needed to analyze vendor payment data. Utilize pre/post... and interpret claims, payment, and vendor data to identify, prevent, and recover overpayments, as well as to drive process...
. Configure contract terms, payment rates, and rules within the organization's systems. Ensure that all contract configurations... and integrity. Monitors and validates post-implementation reports to identify and fix configuration issues. Participates...
and payer-specific guidelines, and driving accuracy within health Insurance coding operations. The Quality Analyst will serve... as a key resource for coding audits, error analysis, coder feedback and supporting revenue integrity initiatives...
operations. This role evaluates payment integrity processes as it relates to carrier reimbursements, supports operational... recommendations that improve performance, cost efficiency, and service quality Collaborate with Operations, Payment Integrity...