Payment Accuracy Advisor

1 day ago

Manila, National Capital Region, Philippines Lyric - Clarity in motion. Full time ₱900,000 - ₱1,200,000 per year

Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. Lyric, formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise, dedicated teams, and top technology. Lyric is proud to be recognized as 2025 Best in KLAS for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2 certified. Interested in shaping the future of healthcare with AI? Explore opportunities at and drive innovation with #YouToThePowerOfAI.

The Payment Accuracy Advisor role functions to implement and maintain the ClaimsXten 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.

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