Payment Accuracy Specialist

Job Summary

To support a growing healthcare recovery team, the full-time Payment Accuracy Specialist will audit client data, generate recoverable claims, and assist in identifying and documenting audit projects while working remotely.

Key responsibilities

• Auditing client data and generating high-quality recoverable claims
• Conducting and documenting moderate to complex audit projects in accordance with CMS and NAIC guidelines
• Collaborating with the audit team to identify over and under-payments and sharing knowledge on audit findings

Required qualifications

• High School Diploma required; Bachelor's degree preferred
• 2-4 years of related experience in healthcare, with strong preference for Medicaid Claims knowledge
• Proficiency in Microsoft Office, particularly Excel, and familiarity with auditing tools
• Experience working with large data sets and various databases
• Prior experience with Cotiviti is recommended for internal candidates