Insight Analyst

Company: Change Healthcare Philippines Inc

Website: https://changehealthcare.com

Overview: Change Healthcare is a leading independent healthcare technology and business solutions company that offers software, analytics, network solutions, and technology-enabled services to help create a stronger, more collaborative healthcare system. We help deliver measurable value not only at the point of care, but also before, after, and in between care episodes.

Change Healthcare provides data and analytics-driven solutions and services to help improve clinical, financial, and patient engagement outcomes. We work with payers and providers who want to improve clinical decision-making, simplify billing, collection, payment processes, and enable a better patient experience.

Job Title: Insight Analysts

Location: BGC, Taguig

Salary: Competitive, Dependent on experience

Shift Schedule: Night Shift (9pm-6am)

Job Summary:

The Insight Analyst will be responsible for reviewing healthcare claims for possible fraud, waste and abuse. Expected to actively work to identify and prevent payment of inappropriate or erroneous charges submitted by healthcare providers, the Insight Analyst is also required to manage workload to ensure that cases are handled appropriately and resolved in a timely manner.

Qualifications:

· A minimum 3-5 years of experience in a healthcare-related / healthcare claims industry is needed with experience in government healthcare programs preferred (Medicare, Medicaid).

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