Payment Accuracy Specialist

Job Summary

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

Key responsibilities

• Audits client data and generates high-quality recoverable claims, ensuring compliance with CMS and NAIC guidelines
• Utilizes Cotiviti audit tools and Microsoft Excel to review claims, identify discrepancies, and document findings
• Participates in onboarding new hires and contributes to knowledge sharing within the audit team

Required qualifications

• High School Diploma required; Bachelor's degree preferred
• 2-4 years of related experience in healthcare, with a focus on Medicaid Claims preferred
• Proficiency in Microsoft Office, particularly Excel
• Strong interest in working with large data sets and various databases
• Ability to analyze data, identify trends, and propose solutions based on auditing standards