Payment Accuracy Specialist 1 (Coordination of Benefits)

Responsibilities: Responsible for reviewing and analyzing complex member data to identify recoverable Coordination of Benefit claims and establish the correct order of liability. The role involves using proprietary software to input recovery information and managing audit projects while ensuring compliance with regulatory guidelines.

Requirements: Requires a high school diploma and healthcare industry experience, specifically with Coordination of Benefits; a bachelor's degree is preferred. Candidates must be proficient in Microsoft Office and possess strong analytical skills to handle large data sets and auditing standards.

Key skills: Coordination Of Benefits, Data Analysis, CMS Guidelines, NAIC Guidelines, HIPAA Compliance, Audit Tools, Microsoft Excel, Critical Thinking, Problem Solving, Financial Record Auditing, Claim Recovery, Written Communication, Verbal Communication, Data Filtering, Query Construction, Attention To Detail

Keywords: Coordination Of Benefits, Payment Accuracy, CMS, NAIC, HIPAA, Recovery Management System, COB Tracker, Healthcare Audit, Claim Recovery, Data Analysis, Microsoft Office, Financial Records, Regulatory Compliance, Healthcare Industry, Audit Standards