Enabling a high-quality and viable healthcare system
Payment Accuracy Specialist
Location
United States
Posted
74 days ago
Salary
$29 - $34 / hour
Seniority
Senior
Job Description
Payment Accuracy Specialist
Cotiviti
• Work under moderate supervision and monitor efficiency in production and quality review of assigned work • Build and maintain a basic understanding of CMS and NAIC guidelines • Utilize Cotiviti audit tools to complete auditing and review reports • Perform audit procedures that include identifying and defining issues, reviewing, and analyzing evidence • Work with Engineering to increase efficiency of tools and reporting • Make determinations based on prior knowledge and experience of client contract terms • Meet or exceed standards for productivity and quality • Assist in onboarding new hires and training existing staff
Job Requirements
- High School Diploma - Required
- Bachelor’s degree (Preferred)
- Minimum of at least (4 - 6) years related experience in healthcare
- At least 3 - 4 years of Cotiviti experience recommended for individuals seeking their next opportunity internally
- Healthcare industry experience, including knowledge of claim adjustments, provider contracts, reimbursement policies and payment integrity (strongly preferred)
- Computer proficiency including Microsoft Office (Word, Excel, Outlook, Access)
- Previous SQL experience strongly preferred
- Excellent verbal and written communication skills
- Strong interest in working with large data sets and various databases.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Disability insurance
- Life insurance
- 401(k) savings plan
- Paid family leave
- 9 paid holidays per year
- 17-27 days of Paid Time Off (PTO) per year depending on specific level and length of service
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