Respond to telephone and written inquiries from the Medicare provider community regarding coverage guidelines, billing, and claim payments. Research and analyze claim edits, audits, and debt recovery issues to provide accurate resolutions to customers.
The Informatics Consultant acts as a strategic partner by leveraging healthcare data, analytics, and automation to drive organizational performance and business decision-making. This role involves collaborating with stakeholders to develop innovative informatics solutions and actionable insights that improve operational and clinical outcomes.