Payment Accuracy Advisor

Insight Global
King of Prussia, PA
Job Description Our client is a Healthcare Software company that provides revenue and payment cycle management and connects payers, providers, and patients to the healthcare system. They are looking to hire a Payment Accuracy Advisor for an 12-month contract opportunity with potential to be extended or brought on full time. The Payment Accuracy Advisor (PAA) role functions to implement and maintain the ClaimsXten (CXT) Rules and Rule Logic for customers' use. As such, the PAA is assigned customers, as part of the Services Delivery Team, to understand the customers' claim system(s), payment policies, and integration data elements managed using CXT for total payment accuracy, to carry out actions and activities such as: * Consulting, gathering, and documenting intent and technical requirements for rules and non-rule work * Triage, troubleshooting, and problem-solving for rule and non-rule issues reported during implementation and upgrade projects, Go Live, and post Go Live production support * Guiding customers thru impacts for routine CXT content and rule updates * Estimating level of effort for new or existing rule work for forecasting and/or pricing * Confirmation of milestone completions by supporting works to trigger customer invoicing * Collaborating with Sr PAA and Engagement Managers for planning and managing client works * Meeting and exceeding metrics such as utilization, time entry, forecasting, etc. As a PAA, for rule and non-rule work, he/she will: * In conjunction with his/her assigned Service Delivery Team (i.e., including any off-shore resources) ensure high-quality, on-time client deliveries. * Assert confidence and reliability as a trusted adviser to drive client-facing initiatives through to conclusion. * Work on issues where analysis of situations or data requires an evaluation of intangibles. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: Skills and Requirements - Prior experience working for Healthcare Insurance companies - Healthcare Claims experience (claims processing, payment and adjudication) - Prior experience working with ClaimsXten - Strong communication, client facing and analytical skills - Medical Coding background
Posted 2025-11-14

Recommended Jobs

IT Project Manager - Future Opportunities (Pipeline Posting)

LingaTech
Harrisburg, PA

IT Project Manager – Future Opportunities (Pipeline Posting) Location: Greater Harrisburg, PA (Hybrid/Onsite Options May Vary) Job Type: Future Opportunity – Talent Pipeline Work Authorizati…

View Details
Posted 2025-11-14

Winery/B&B Sales

Deer Creek Winery LLC
Uniontown, PA

It's Always A Good Day Selling Wine! Are you a people person? Are you a well-rounded individual that enjoys providing wonderful customer service in a beautiful and inviting atmosphere?  If so, De…

View Details
Posted 2025-11-14

Family Medicine Physician (FP)

Titan Placement Group
Williamsport, PA

Family Medicine Physician (FP) Family Medicine Physician (FP) needed in Williamsport, PA. Titan Placement Group invites you to explore an opportunity in a city on the move. It is alive with gr…

View Details
Posted 2025-11-07

Pharmacy Technician

Phoebe Ministries
Allentown, PA

Pharmacy Technician Allentown, PA Phoebe Ministries is hiring a part-time   Pharmacy Technician to join our Pharmacy in Allentown, PA. Schedule: Part-time, 11am to 7:30pm, Holiday Rotation…

View Details
Posted 2025-11-10

Workday Integration Developer

Dynamics ATS
Strong, PA

Workday Integration Developer   JOB-10045252   Anticipated Start Date December 1, 2025   Location Taylor, TX   Type of Employment Direct Hire   Employer Info Our client …

View Details
Posted 2025-10-24

Mechanical Design Engineer

R-V Industries Inc
Langhorne, PA

Job Description Job Description GENERAL JOB DESCRIPTION R-V Industries & subsidiaries is a design and build manufacturer of custom industrial process equipment. We engineer to order, as well a…

View Details
Posted 2025-10-25

Ground Maintenance

SGS Consulting
Pennsylvania

Job Responsibilities: Assist in performing openings & closings for burials, entombments, and inurnments Operating a mower, weed eater and blower Digging graves, placing headstones, hauling d…

View Details
Posted 2025-11-14

Front Desk Agent/Night Auditor

Motel 6 York
York, PA

Job Description Job Description Job Overview We are seeking a dedicated and professional Front Desk Clerk/Night Auditor to join our team. This role is essential in providing exceptional custom…

View Details
Posted 2025-11-08

Sous Chef

Buona Via
Horsham, PA

We are looking to add to our kitchen staff. Buona Via offers contemporary and traditional Italian cuisine.  We are looking for a candidate with experience in an Italian restaurant and who is wil…

View Details
Posted 2025-11-07

Experienced Cook

Roundtop Mountain Resort
Lewisberry, PA

  Create Your Experience of a Lifetime!   Come work and play in the mountains! Whether it’s your first-time seeing snow or you were born on the slopes, joining our team means discovering (or re-d…

View Details
Posted 2025-10-30