Revenue Integrity Administrative Analyst in Los Angeles, CA for UCLA

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Revenue Integrity Administrative Analyst

DescriptionAs a Revenue Integrity Administrative Analyst, you will play a crucial role in managing and auditing claims to ensure accuracy and compliance. Key responsibilities include:Track and follow up on Stop-loss related claims for various carriers, including sending re-bills and addressing denied claims.Audit claims leakage for all Managed Care payors, validate capitation deductions, ensure contractual rates are applied, and provide executive summaries for Stop-loss, TPL, and other recovery items.Initiate, track, and follow up on TPL claims, interface with vendors, law firms, providers, and patients, and collaborate with programmers to enhance claims recovery processes.I

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