Manila, PHL
16 days ago
Senior Payment Accuracy Advisor
Lyric, formerly ClaimsXten, is a leading healthcare technology company, committed to simplifying the business of care. Over 30 years of experience, dedicated teams, and top technology help deliver more than $14 billion of annual savings to our many loyal and valued customers—including 9 of the top 10 payers across the country. Lyric’s solutions leverage the power of machine learning, AI, and predictive analytics to empower health plan payers with pathways to increased accuracy and efficiency, while maximizing value and savings. Lyric’s strong relationships as a trusted ally to customers resulted in recognition from KLAS as “true partner” and “excellent value for investment,” with a top score for overall customer satisfaction and A+ likelihood to recommend in their October 2023 Payment Integrity and Accuracy Report. Discover more at Lyric.ai . The Payment Accuracy Advisor role functions to implement and maintain the ClaimsXten software and Select (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 carryout 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. • Follows and maintains compliance with current methodologies, tools, procedures, and processes. And in collaboration with Service Delivery Team members and supporting departments to ensure high quality work output and customer satisfaction. Lyric is an Equal Opportunity Employer that drives superior business results by understanding and leveraging diversity. We strive to maximize the productivity and performance of our employees by fostering a winning team spirit and high personal accountability. Everyone is encouraged to respond including women, people of color, veterans, people with disabilities, all lifestyles, beliefs and generational diversity.
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