Performing in-depth analysis of claims, payments, and account reconciliations to ensure accuracy and compliance across the revenue cycle.
Identifying trends in underpayments, denials, and revenue leakage, evaluating root causes, and recommending corrective actions to improve financial performance.
Reviewing and validating claim and payment data, interpreting contract reimbursement terms, preparing detailed reports, and working assigned underpayment projects.
Collaborating with cross-functional teams, escalating complex issues, and supporting continuous improvement initiatives to optimize processes and reduce cycle times.
Requirements
1 to 3 Years experience
Demonstrated advanced usage of AI and the management of teams using AI to lean into process and technological improvements