Capital BlueCross
Payment Integrity Business Analyst (Finance)
The Payment Integrity Analyst functions to provide analytical, technical and problem resolution support to Pre/Post Pay Auditing, Claims Editing, COB, DRG and Subrogation processing. Conducts or participates in activities related to planning, controlling and directing projects and analysis. The analyst must use knowledge of existing business practices, systems, procedures, policies, current testing tools/practices and their interrelationships to provide and ensure innovative approaches and solutions to business problems and requirements in the supported systems. The analyst is responsible for obtaining necessary approvals on systems configuration, systems testing and application changes.
JOB REQUIREMENTS
Education, Certification, and Licenses:
Experience:
Skills:
Knowledge:
Physical Demands:
ESSENTIAL DUTIES & RESPONSIBILITIES
Capital BlueCross is an independent licensee of the BlueCross BlueShield Association. We are an equal opportunity/affirmative action employer and do not discriminate on the basis of race, color, religion, national origin, gender, sexual orientation, gender identity, age, genetic information, physical or mental disability, veteran status, or marital status, or any other status protected by applicable law.