Payment Accuracy Specialist

🕒 6 days ago

🇺🇸 United States – Remote

💵 $29 - $34 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Cotiviti

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.

📋 Description

• Work under moderate supervision • Has the ability to build and maintain a basic understanding of CMS and NAIC guidelines to establish the correct order of liability • Advanced with Cotiviti audit tools (Recovery Management System, specific client systems) to complete auditing • Work with Engineering to increase the efficiency of tools and reporting • Develop new and existing audit concepts, gain client acceptance • Train all Specialist levels to execute audit projects

🎯 Requirements

• High School Diploma - Required • Bachelor’s degree (Preferred) and/or a minimum of at least (4 - 6) year/s related experience in healthcare • At least 3 - 4 year/s of Cotiviti experience is 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, dental, vision, disability, and life insurance coverage • 401(k) savings plans • 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 with Cotiviti