One of the fastest growing technology companies in the US, having achieved prestigious rankings on the INC5000 and Deloitte Technology Fast500 lists
Research documents and analyze data for Health Plans that would lead to overpayments
Identify new overpayment opportunities by reviewing and researching the following: Medicare and Medicaid Claims Processing Policies, OIG and RAC findings, Adjustments by internal units/other vendors, Clients Claims Processing Policies, Provider and Member contracts, understanding how client’s process claims to determine areas for overpayment potential.
- 2-5 years of Medical Claims Process experience
- 1-2 years of experience as an Auditor
Chris Machata, CPC