Payment Integrity Analyst
Current• Coordinate benefits between Commercial Medical policies as well as Medicare eligibility• Recover over 1.2 million dollars in claims per year for clients• Use NAIC guidelines to verify order of benefits for members• Maximize member savings by thoroughly examining claims and their billing process• Research plan language for policies for conflicting language• Take part in a mentoring program for new auditors (mentored five auditors as of Nov. 2022)