Public Interest Co
Claim Association QA Specialist (Part-Time)
United States
Role brief
What this role is asking for.
About the Company The Public Interest Company provides a comprehensive solution for identifying and recovering third party liability for health plans, risk-bearing provider groups, and self-funded employers. We combine AI and a legal tech platform to identify and recover claims that should have been paid by third party payers. We handle the entire recovery process, all while protecting members and streamlining operations. We empower healthcare organizations to maximize their financial performance and recoup dollars towards care delivery, without adding administrative burden. Role Overview You'll play a key role in uncovering healthcare claims that should have been paid by third-party insurers rather than health plans. You'll leverage your expertise in medical coding, claims analysis, and clinical documentation to review injury-related cases, identify recovery opportunities, and help improve payment accuracy. This is an ideal opportunity for someone with a strong medical coding or claims background who enjoys investigative work, pattern recognition, and working at the intersection of healthcare, data, and operations. What Youโll Do - Review medical records, claims data, and supporting documentation to identify potential third-party liability (TPL) and recovery opportunities. - Analyze injury-related claims by connecting accidents, diagnoses, procedures, and treatment timelines....
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