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Role and Responsibilities:
- Identify, analyze, and recover claim overpayments for commercial health insurance and state healthcare programs.
- Research client claims adjudication systems, contracts, and policies to develop overpayment detection concepts.
- Collaborate with clients and team members to resolve disputed overpayments and identify new opportunities.
Qualifications:
- Bachelor’s degree in accounting, business, healthcare, or related field, or equivalent experience.
- Strong analytical skills, proficiency in Excel, and attention to detail.
- Experience in medical claims processing and overpayment analysis preferred.
Benefits:
- Comprehensive package including health insurance, 401(k) plan with employer match, and paid parental leave.
- Performance-based incentive program to reward contributions.
TREND Health Partners
TREND Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve healthcare access. It is a dynamic, growing organization with a collaborative and innovative work environment.