Billing Integrity Edit Analyst
CurrentPrepare month end performance reports.Maintenance of edits for billing application.Create edit requests or system enhancements.Respond to edit inquiries from various business units.Identify Billing edit needs and determine the appropriate platform. Review, recommend and establish global edits or system enhancements.Develop necessary reports to track edit effectiveness, history, volumes, etc.Determine ways to improve processes by identifying duplicate or ineffective edits.Monitor billing processes to ensure edits are working as designed and are compliant.Create, submit and maintain edits in the various billing editor systems as requested by the users.Work closely with programmers in detailing the required logic for edits for certain systems.