New Operations Associate, Payment Integrity

Responsibilities:

• Execute Claim Reprocessing Cycles: Facilitate the aggregation of high-volume claim batches for reprocessing.
• Perform Reprocessing Reconciliations: Facilitate backend controls to audit the accuracy of batch-reprocessed claims.
• Manage Recovery Posting & Resolution: Reconcile claims data to determine the accuracy and completeness of reprocessed claims.

Requirements:

• You have 3+ years of experience working with large datasets, including reconciliations, data validation, and transfers in a high-volume environment.
• You’re confident in Excel or Google Sheet, specifically in processing and cleaning extensive data volumes to ensure accuracy, completeness, and integrity (e.g., pivots, lookups).
• You’ve supported financial audits within a healthcare setting, with exposure to claims data, payments, or audit workflows.

Benefits Overview:

• Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities.
• We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage.