Analyst in Payments Integrity & QA ensuring healthcare payment accuracy and compliance. Contributing to internal audits and identifying payment discrepancies using data tools.
Responsibilities
Perform routine quality assurance audits on internal payment transactions to verify adherence to company policies and regulatory standards.
Assist in the preparation of documentation for external client audits, ensuring all requested data is validated and organized for presentation.
Use analytics tools to identify payment discrepancies and surface potential errors for further investigation.
Assist with investigating why payment errors occur, such as system logic gaps or manual processing mistakes.
Maintain tracking logs of audit findings and help update dashboards that highlight accuracy trends for Operations and Product/Engineering teams.
Identify bottlenecks or 'friction points' in the daily payment workflow and suggest simple procedural updates to improve efficiency.
Requirements
2+ years of experience in healthcare claims, payment integrity, financial auditing, or a related data-heavy operational role.
Foundational understanding of payment cycles, claims adjudication, or billing processes.
Experience using data tools (e.g., Looker, Excel) to pull reports and identify patterns.
An uncompromising eye for accuracy and the ability to manage recurring audit tasks with precision.
Ability to clearly document audit findings and explain them to teammates and managers.
A proactive approach to identifying issues and a desire to help implement solutions.
Benefits
Health insurance
401K matching for US-based employees, with immediate vesting
Flexible hybrid work
16 weeks 100% paid parental leave and new parent stipend
Annual professional development stipend and access to a personal career coach
Whole-self care through wellness partnerships
Hybrid work, in office meals, and work together days
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