Payment Integrity Business Analyst

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $75.1k - $123.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

👻 Ghost score 2%

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EXL

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

📦 Logistics

💰 $2M Venture Round on 2015-01

Healthcare • Insurance • Logistics

EXL is a business consulting and services firm that focuses on leveraging data to enhance business operations and decision-making. With a strong emphasis on collaboration and adaptability, EXL partners with organizations to address their unique needs and culture while integrating data science and technology solutions. The company's areas of expertise include operations management, decision analytics, digital transformation, and various industries such as healthcare, finance, and insurance. EXL's mission is to help clients drive business evolution and maintain competitive advantage through tailored solutions and effective use of data.

📋 Description

• Collaborate across current and future client Payment Integrity Audit programs to define and document client business requirements • Monitor audit inventory for aging, prioritization, and forecasting • Partner with managers, reporting and support teams, and other internal partners to resolve issues timely • Provide report logic to reporting teams to ensure accurate inventory and MBR reporting • Support operational projects that drive process improvement • Maintain provider audit letter templates and client-requested approvals and updates • Address provider issues regarding medical records and audit requests • Identify and assist with implementing process enhancements • Access client claim systems to validate claims and claim reimbursement terms • Maintain provider manager address application

🎯 Requirements

• 5 years of experience in Payment Integrity Audit & Recovery Programs • Strong analytical skills, attention to detail, and problem-solving ability • Project Management experience • Data-driven problem solving • Advanced skills in Microsoft Excel, Word, Teams, and other standard business tools • Excellent oral and written communication skills • Ability to multitask in a fast-paced environment with attention to detail • Ability to build and maintain strong interdepartmental working relationships • Reliable, responsive, and accountable, with a strong sense of ownership for assigned follow-up tasks • Bachelor’s degree preferred or equivalent work experience in payment integrity services

🏖️ Benefits

• Exciting, fast-paced, and innovative environment • Opportunity to work closely with experienced healthcare, quality, and audit professionals • Learning opportunities across healthcare Payment Integrity business • Development of teamwork, communication, organization, and time-management skills • Exposure to healthcare audit operations, onboarding coordination, manager support, and operational systems and processes • Further growth and development opportunities

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