Payment Accuracy Specialist

Job Summary

To support a growing healthcare recovery team, the full-time Payment Accuracy Specialist will develop and execute audit projects, train team members, and analyze client data to identify and recover claims, all while working remotely.

Key responsibilities

• Develop and implement new audit concepts while training and mentoring less-tenured team members
• Conduct audits on client data to identify billing compliance issues and generate recoverable claims
• Utilize advanced auditing tools and methodologies to analyze complex reports and ensure quality standards are met

Required qualifications

• High School Diploma required; Bachelor's degree preferred with 4-6 years of related healthcare experience
• At least 3-4 years of experience with Cotiviti recommended for internal candidates
• Strong knowledge of claim adjustments, provider contracts, and reimbursement policies in the healthcare industry
• Proficiency in Microsoft Office, especially Excel; previous SQL experience preferred
• Ability to analyze large data sets and identify trends, discrepancies, and anomalies