Payment Accuracy Specialist

Job Summary

A company is looking for a Payment Accuracy Data Mining Specialist.

Key Responsibilities

• Conduct audits of client data to identify over and underpayments of claims
• Utilize audit tools and client systems to complete reviews and document findings
• Prepare responses to client disputes and make recommendations on medical policy applications

Required Qualifications

• High School Diploma required; Bachelor's degree preferred
• 1-2 years of related experience in healthcare preferred
• Proficiency in Microsoft Office applications
• Experience with Coordination of Benefits in the healthcare industry preferred
• Basic understanding of healthcare regulations and policies