United StatesIn my role as a Claims Investigator at MultiPlan, I am responsible for managing a high volume of healthcare claims to maximize savings opportunities. I analyze and interpret data for accuracy and recoverability, while consistently reviewing contracts for guidelines and updates. My work helps ensure compliance with regulations and maintain high-quality standards. I also assist in training new ...
United StatesIn my role as an Analytic Development/Payment Accuracy specialist at Optum, I reviewed medical paid claims to ensure accuracy and compliance with provider contracts and policies. By employing data mining techniques, I analyzed and audited hospital and physician claims, promoting a positive team environment based on critical thinking and intelligence sharing. I also collaborated cross-function...
United StatesIn my role as a Claims Auditor at COTIVITI USA, LLC, I meticulously audited client data for claim overpayments, ensuring compliance with contracts and CMS guidelines. I also played a key role in assisting with new contract start-ups and consistently met monthly recovery goals.