Payment Integrity Claims Auditor & Data Insights

Neighborhood Health Plan of Rhode Island

Neighborhood Health Plan of Rhode Island is seeking a Claim Auditor in Payment Integrity to address complex audit assignments focused on identifying claim overpayments. The ideal candidate will evaluate claim payment accuracy through methods such as audits and medical chart reviews. Your role will involve investigating over-utilization, initiating claims adjustments, maintaining documentation, and reporting outcomes. The position requires strong analytical and problem-solving skills, along with excellent communication abilities. #J-18808-Ljbffr Neighborhood Health Plan of Rhode Island

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Vacancy posted 2 days ago

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