
51 - 200 employees
Founded 2011
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
💰 Private Equity Round on 2021-01
Healthcare • Consulting • Healthcare Insurance
Healthcare Fraud Shield is a company specializing in Payment Integrity and Cost Containment solutions for healthcare insurers. They offer a comprehensive, AI-driven platform that incorporates advanced anomaly detection and a proprietary data fusion library to combat fraud, waste, abuse, and errors in healthcare claims. Their robust end-to-end solution optimizes the auditing process, utilizing both pre- and post-payment data to maximize savings and improve accuracy in claim processing. By providing actionable insights and expert support, Healthcare Fraud Shield helps organizations achieve significant annual savings and enhance operational efficiency.
Selected: 🇺🇸 United States – Remote USA.
Selected: 🆕 Date Added.
🕒 August 20
SIU Clinical Investigator analyzing medical records and healthcare claims for Healthcare Fraud Shield’s fraud prevention and payment integrity solutions. Supporting FWA investigations and coding determinations.
🕒 July 23
Coding Auditor at Healthcare Fraud Shield reviewing medical records and auditing claims for accuracy. Requires expertise in medical coding and a certification like CPC, CCS, or CCA.