Payment Accuracy Specialist

Job Summary

A company is looking for a Payment Accuracy Specialist (Coordination of Benefits).

Key Responsibilities

• Review and analyze claims and member data to identify recoverable claims
• Utilize proprietary audit tools to conduct comprehensive member investigations
• Prepare responses to client disputes and identify opportunities for process improvement

Required Qualifications

• Minimum Requirement: High School Diploma; Bachelor's degree preferred
• At least one year of related experience in healthcare is preferred
• Experience in the healthcare industry, particularly in Coordination of Benefits
• Proficiency in Microsoft Office (Word, Excel, Outlook)
• Experience with large data sets and various databases is preferred