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 for comprehensive member investigations
• Prepare and evaluate responses to client disputes and identify opportunities for process improvement

Required Qualifications

• Minimum Requirement: High School Diploma
• Bachelor's degree preferred and/or at least one year of related healthcare experience
• At least one year of experience in a similar role is recommended
• Healthcare industry experience, particularly in Coordination of Benefits, preferred
• Computer proficiency, including Microsoft Office applications