Payment Integrity Nurse Reviewer- Hospital Claims

SmartLight Analytics · Remote: United States

Salary: $110,000 - $140,000 a year

Full time Remote Posted 2 days ago

Skills this job asks for

Nursing Data analysis Excel SQL Regulatory compliance Litigation Reporting Advocacy

About the role

We are seeking an experienced Senior Claims Analyst with deep expertise in hospital claims adjudication, stop loss reporting, high-cost/catastrophic claims, and DRG (Diagnosis-Related Group) reimbursement methodology. This individual will analyze itemized hospital bills and…

You will work closely with a small, friendly team and take on more as you settle in. Most days start with a short catch-up, then plenty of time for the work itself.

What you will do

• Look after the day-to-day running of your area
• Work with the people around you to plan the week ahead
• Share what you learn and help newer members of the team
• Keep things tidy, on time and to a high standard

About you

You care about doing good work, you are happy to ask questions, and you like being part of a team that looks out for each other.

What you get

Fair pay, time to learn, flexible hours where the work allows, and people who will be glad you joined.

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