Specialist

R1

3 years us healthcare experience
1 year underpayment experience
Basic sql and ms excel skills
The role involves conducting audits, analyzing root causes of underpayments, and creating resolution plans to improve financial performance

Job Summary

  • The role involves conducting audits, analyzing root causes of underpayments, and creating resolution plans to improve financial performance.
  • Candidates will work closely with operations and quality teams to develop action plans for quality improvement and manage client escalations.
  • The company fosters an inclusive culture with opportunities to learn and grow through rewarding interactions in a fast-growing healthcare setting.

Matching Summary

Match Score: 75

The role involves conducting audits, analyzing root causes of underpayments, and creating resolution plans to improve financial performance.

Skills & Requirements

Must-have

  • 3 years US healthcare experience
  • 1 year underpayment experience
  • Basic SQL and MS Excel skills
  • Root cause analysis capabilities
  • Payor call handling for denials

Nice-to-have

  • EPIC system experience preferred
  • Strong analytical skills with complex equations
  • Flexible to work in 24/7 environment
  • Experience with AI and intelligent automation
  • Excellent written and verbal communication

Key Requirements

  • Graduate degree from recognized university
  • Minimum 3 years US healthcare experience
  • Minimum 1 year underpayment experience
  • Good academic track record required

Work Rights

Not specified

Tailored Resume

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