Payment Accuracy Specialist 2

Responsibilities: Perform advanced healthcare payment audits to identify billing inaccuracies and recover inappropriate payments. Develop audit concepts and collaborate with technical teams to improve reporting tools and process efficiencies.

Requirements: Requires 4-6 years of healthcare industry experience in claims, reimbursement, or auditing, with strong proficiency in Excel and preferably SQL. A high school diploma is required, while a bachelor's degree is preferred.

Key skills: Healthcare Payment Auditing, Data Analysis, SQL, Microsoft Excel, Payment Integrity, Claims Adjudication, Reimbursement Policies, Contract Compliance, HIPAA Compliance, Investigative Skills, Reporting Tools, Problem Solving, Written Communication, Mentoring, Audit Workflow Development, Database Management

Keywords: Payment Accuracy, Healthcare Claims, Payment Integrity, Audit, SQL, Microsoft Excel, Microsoft Access, HIPAA, Reimbursement, Overpayments, Underpayments, Claim Adjustments, Provider Billing, Data Sets, Compliance, Healthcare Regulations