Payment Accuracy Specialist

Job Summary

Working full-time in a remote capacity, a Payment Accuracy Specialist will audit client data, identify recoverable claims, and ensure compliance with billing regulations while utilizing various audit tools and maintaining productivity standards.

Key responsibilities

• Audits standard reports and paid claims to identify over and underpayments across various clients
• Documents findings and communicates audit recommendations for evaluation and continuous improvement
• Maintains proficiency in healthcare regulations and Cotiviti policies to ensure compliance and confidentiality

Required qualifications

• High School Diploma is required; Bachelor's degree preferred
• 1-2 years of related experience in the healthcare industry
• Proficiency in Microsoft Office applications, particularly Excel
• Basic understanding of healthcare billing and reimbursement methodologies
• Experience with data mining and auditing tools is advantageous