IRF Compliance Analyst

About the role

-Review and validate client-submitted documentation to support IRF claims processing. -Ensure completeness, accuracy, and consistency of claim records and supporting evidence. -Upload, organize, and maintain documentation within designated claims management systems and repositories. -Execute end-to-end IRF claims review and validation activities in accordance with established policies, procedures, and service levels.

What you'll do

• Review and validate client-submitted documentation to support IRF claims processing
• Ensure completeness, accuracy, and consistency of claim records and supporting evidence
• Execute end-to-end IRF claims review and validation activities in accordance with established policies, procedures, and service levels
• Investigate claim exceptions, discrepancies, and processing issues, escalating matters as appropriate
• Partner with regional stakeholders, operations teams, product teams, and compliance functions to resolve claim-related inquiries

What you need

• 2–4 yrs of experience
• Compliance
• Documentation
• Claims processing
• MBA