Trend Health Partners

The manager is responsible for driving revenue and growth by identifying payment integrity opportunities and fostering collaboration between payers and providers. They will lead, coach, and mentor a team to ensure high-quality service delivery and the achievement of performance targets.

The Nurse Coding Auditor validates the accuracy of CPT, HCPCS, and revenue codes on inpatient and outpatient facility claims. They perform hospital bill audits and itemized bill reviews to ensure services are appropriately documented and billed according to CMS guidelines.

Review and resolve healthcare credit balance accounts by analyzing root causes and partnering with providers for refunds or adjustments. Manage accounts receivable and communicate with internal teams to ensure accurate closure of client overpayments.

The Claims Analyst is responsible for identifying, analyzing, and recovering claim overpayments for commercial health insurance and state healthcare programs. This includes researching claims systems, developing overpayment concepts, and validating algorithms to ensure accuracy.