Payment Accuracy Specialist

Job Summary

A company is looking for a Payment Accuracy Specialist 1 (Coordination of Benefits).

Key Responsibilities

• Review and analyze complex member selections and multi-client impacts to identify recoverable Coordination of Benefit claims
• Utilize proprietary audit tools to conduct member investigations and input accurate claim recovery information
• Prepare and evaluate responses to client disputes and identify opportunities for process improvements

Required Qualifications

• High School Diploma required; Bachelor's degree preferred
• Minimum of two years related experience in healthcare
• Knowledge of Coordination of Benefits is required
• Computer proficiency including Microsoft Office (Word, Excel, Outlook)
• 1-2 years of relevant experience with the company recommended for internal candidates