Coordination of Benefits - Medical Claims Investigator

Job description

Coordination of Benefits - Medical Claims Investigator At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!! JOB SUMMARY: This role reviews medical paid claims against provider contracts and policies to ensure medical payments have been processed accurately. The incumbent will employ data mining and coordination of benefits techniques to analyze and audit hospital and physician claims to identify errant claim payments. DUTIES: - Achieve measured production, quality, and growth results. - Utilize analytics, data mining, and coordination of benefits techniques on client paid claims data. - Evaluate...