Payment Accuracy Specialist

Job Summary

A company is looking for a Payment Accuracy Specialist (Coordination of Benefits).

Key Responsibilities

• Review and analyze claims and member data to identify recoverable claims
• Utilize proprietary audit tools for comprehensive member investigations and maintain accurate documentation
• Prepare responses to client disputes and identify opportunities for process improvements

Required Qualifications

• Minimum of a High School Diploma; Bachelor's degree preferred
• At least one year of related experience in healthcare
• Experience in the healthcare industry, particularly in Coordination of Benefits, is preferred
• Proficiency in Microsoft Office applications
• Basic understanding of the healthcare industry and data management