Payment Integrity Specialist

Job Summary

A company is looking for an Auto-Recoupment Integration (Payment Integrity) Specialist.

Key Responsibilities

• Obtain documentation to support overpayment auto recoupment activities
• Respond to inquiries from providers, vendors, and internal partners regarding auto-recoupment
• Prepare training materials and conduct training for vendors on auto-recoupment processes

Required Qualifications

• Bachelor's Degree or equivalent work experience required
• 2+ years of advanced proficiency in Proclaim and/or Facets
• Expertise in claim payment and financial understanding preferred
• Strong proficiency with SharePoint, Webex Meetings, Microsoft Office Suite
• Banking knowledge preferred (DDAR and 835)