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 lyric.ai/careers 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.
Top Skills
What We Do
Welcome. Let us help bring your health plan's payment accuracy and savings into the next era of savings and cost reduction. Learn more by visiting Lyric.AI
Welcome to Lyric. Building on the legacy of ClaimsXten, we bring over 30 years of expertise to deliver unmatched savings—more than $14 billion annually—to our valued clients, including 9 of the top 10 health payers nationwide.
Our cutting-edge solutions streamline complex claims processes, ensuring precision and efficiency for over 185 million lives under our care. Recognized by KLAS for our partnership excellence and value, we lead with top customer satisfaction scores and an A+ recommendation rate.
Apart from our market-leading pre-pay claim editing services, Lyric is at the forefront of integrating advanced technologies to drive greater savings and administrative cost savings through the payment integrity value chain. This includes strategic partnerships with leaders in the areas of genetic testing claims accuracy, coordination of benefits, and more.
Whether you are a current valued customer or new to Lyric, we are investing in helping health plans simplify the business of care.
Visit us at Lyric.AI
