Payment Integrity Innovator: Concept Development SME

ExlService Holdings, Inc.; United States; Vor Ort; USD 75.000 - 107.000; Vollzeit

Zusammenfassung

ExlService Holdings, Inc. in the United States seeks a Subject Matter Expert (SME) for Payment Integrity Concept Development who designs, develops, and validates innovative concepts to identify inaccurate or unsupported healthcare claims.

The ideal candidate combines medical coding, reimbursement methodologies, clinical documentation, regulatory guidance, and claims analytics to generate high-value overpayment detection opportunities with measurable savings.

Aufgaben

• Design, develop and validate innovative payment integrity concepts.
• Identify overpayments and generate measurable savings.
• Ensure high clinical accuracy with low provider abrasion.

Jobbeschreibung

ExlService Holdings, Inc. in the United States seeks a Subject Matter Expert (SME) for Payment Integrity Concept Development who designs, develops, and validates innovative concepts to identify inaccurate or unsupported healthcare claims.

The ideal candidate combines medical coding, reimbursement methodologies, clinical documentation, regulatory guidance, and claims analytics to generate high-value overpayment detection opportunities with measurable savings.