Payment Intelligence Consultant - Claims & Analytics

ESR Healthcare; Chicago (IL); On-site; USD 70,000 - 90,000; Full time

Job summary

A healthcare consulting firm is looking for a Consultant in Payment Intelligence in Chicago, IL. You will be responsible for client delivery, focusing on payment accuracy and strategic use of analytics. The role requires 2+ years of consulting experience, strong knowledge of claims processing, and advanced Excel skills. The ideal candidate will support initiatives to ensure prompt and correct claims payment with potential client interaction. Flexibility to work from the Chicago office is necessary.

Qualifications

• 2+ years of experience in consulting or payer organizations.
• Foundational knowledge of claims processing including Medicare and Medicaid.
• Advanced proficiency in Microsoft Excel and basic/intermediate SQL.

Responsibilities

• Support the development of payment accuracy opportunities.
• Utilize analytics to identify claims payment opportunities.
• Conduct research on regulatory requirements impacting health plan reimbursement.

Skills

Claims analytics

Process improvements

Microsoft Excel

SQL

Strong analytical skills

Professional communication

Education

Bachelor’s degree or equivalent

Job description

A healthcare consulting firm is looking for a Consultant in Payment Intelligence in Chicago, IL. You will be responsible for client delivery, focusing on payment accuracy and strategic use of analytics. The role requires 2+ years of consulting experience, strong knowledge of claims processing, and advanced Excel skills. The ideal candidate will support initiatives to ensure prompt and correct claims payment with potential client interaction. Flexibility to work from the Chicago office is necessary.