Payment Accuracy Data Mining Specialist 2

Job Summary

A company is looking for a Payment Accuracy Data Mining Specialist 2.

Key Responsibilities:

• Develop and execute audit projects, train team members, and evaluate audit effectiveness
• Analyze paid claims, identify audit findings, and provide documentation for training and knowledge sharing
• Identify new claim types and concept expansion, recommend new concepts and processes, and collaborate with Engineering in the development of new reports and tool functionality

Qualifications:

• High School Diploma required, Bachelor's degree preferred
• 4-6 years of related experience in healthcare
• Healthcare industry experience, including knowledge of Coordination of Benefits, preferred
• Computer proficiency including Microsoft Office (Word, Excel, Outlook, Access)