Junior Payment Integrity Analyst
BengaluruFull-timeFresherPosted over a month ago
Entry-level banking role at CoverSelf in Bengaluru. Open to freshers with an MBBS, BDS or B.Pharm.
About the role
This role focuses on developing clinical content, payment integrity rules, and code edit solutions. The Clinical Content Specialist will translate clinical guidelines and payer policies into business logic, algorithms, and rule frameworks for automated claims validation.
What you'll do
- Develop and maintain payment integrity rules, edits, and policies
- Translate Healthcare Payer guidelines → business rules
- Build code edit solutions to detect incorrect payments
- Conduct research on medical policies and reimbursement methodologies