Remote Performance Integrity Analyst I

Cambia Health Solutions; Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare organization is seeking a Performance Integrity Analyst I who will audit claims for accuracy according to established guidelines. This role requires attention to detail, effective communication, and two years of experience in claims processing. The successful candidate will work remotely within several states and will play a key role in quality improvement initiatives while enjoying a competitive salary and benefits package.

Benefits

Medical, dental and vision coverage

Generous paid time off

401(k) with company match

Wellness programs

Commute and parking benefits

Qualifications

• Two years of experience in claim processing or equivalent education.
• Ability to apply mathematical concepts in a practical context.
• Experience with corporate software such as Excel and Outlook.

Responsibilities

• Audit claims for accuracy based on policies and guidelines.
• Compile performance statistics and identify trends.
• Participate in testing system changes and provide feedback.

Skills

Understanding mathematical concepts

Proficient PC skills

Claims coding knowledge

Audit experience

Organizational skills

Attention to detail

Effective communication

Experience with AI tools

Education

Two years of experience in Claim processing or equivalent

Tools

Microsoft Word

Microsoft Excel

Outlook

Facets

eVIPS

Radar

Job description

A healthcare organization is seeking a Performance Integrity Analyst I who will audit claims for accuracy according to established guidelines. This role requires attention to detail, effective communication, and two years of experience in claims processing. The successful candidate will work remotely within several states and will play a key role in quality improvement initiatives while enjoying a competitive salary and benefits package.