Managed Care Payment Integrity Analyst - Contract Reimbursement - Payor Contracting
University of Mississippi Medical Center(10 months ago)
About this role
The Payment Integrity Analyst monitors and recovers variances between expected and actual reimbursement from payers. The role involves interpreting contract language, ensuring accurate estimated reimbursement, and reconciling claims per contract guidelines. The analyst works with internal departments and external vendors to identify and resolve reimbursement discrepancies.
Required Skills
- Provider Reimbursement
- Microsoft Office
- CMS Methodology
- Medical Terminology
- Confidentiality
- Contract Interpretation
- Data Analysis
- Communication
- Organization
- Data Entry
+1 more
Qualifications
- Bachelor's Degree
- 3 Years Experience
- Master's Degree Preferred
About University of Mississippi Medical Center
umc.eduUMMC educates health care professionals, conducts health sciences research, provides leading patient care and eliminates health care disparities.
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