1 jobs found in Chicago, IL

Consultant, Payment Intelligence chicago, il   The Role   Health plans face continued challenges in reimbursing claims on-time and accurately.   consulting service line, Payment Intelligence®, goes beyond typical payment integrity to ensure erroneous and inefficient payments are identified, rectified, and recouped to prevent them in the future. Our Payment Intelligence® team addresses issues with payment policies, provider contracts, provider data, covered benefits, member eligibility and prior authorizations.   In this role, the individual will be responsible for client delivery of Payment Intelligence® . The position will report to a Payment Intelligence® Manager. The individual will be the subject matter expert on strategies to help our clients ensure proper claims payment through the use of (1) claims analytics, (2) process improvements, (3) integration of automation/technology, and (4) configurations setups. This role will...