Payment Accuracy Specialist

Job Summary

A company is looking for a Payment Accuracy Specialist.

Key Responsibilities

• Audit client data to generate recoverable claims and document findings
• Utilize audit tools and systems to review claims for over and underpayments
• Prepare responses to client disputes and maintain compliance with healthcare regulations

Required Qualifications

• High School Diploma required; Bachelor's degree preferred
• 1-2 years of related experience in healthcare preferred
• Proficiency in Microsoft Office, especially Excel
• Experience in the healthcare industry, including knowledge of Coordination of Benefits preferred
• Basic understanding of CMS and NAIC guidelines