Cotiviti - US
Senior Specialist, Payment Accuracy*
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Job Description
- Req#: 15974
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $39.00 per hour
- Eligible for discretionary bonus consideration
- Competitive benefits package including medical, dental, vision, disability, and life insurance
- 401(k) savings plans and paid family leave
- Generous Paid Time Off (PTO) ranging from 17-27 days per year based on service
- Opportunity for career growth and development in a rapidly expanding team
What to Expect (Job Responsibilities):
- Develop new and existing audit concepts and gain client acceptance
- Collaborate with teams to create new tools and processes for enhanced audit production
- Oversee quality control by reviewing auditor claims before client submission
- Prepare responses to client disputes and ensure claims validation
- Train and mentor audit staff to improve performance and execution of audit projects
What is Required (Qualifications):
- Bachelor’s degree preferred with a minimum of three years of direct audit experience or four years of related experience in healthcare billing or claims
- Proficiency in Microsoft Excel, Access, and system databases
- Ability to mentor staff and enhance their performance related to audit quality and productivity
- Prior experience in healthcare billing and/or claims is desired
- Excellent verbal and written communication skills
How to Stand Out (Preferred Qualifications):
- Experience using Datameer and SQL preferred
- Knowledge of Medicaid processes and requirements
- Ability to work effectively in both individual and team environments
#HealthcareServices #AuditSpecialist #CareerGrowth #CompetitiveBenefits #RemoteWork
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Cotiviti is a solutions and analytics company leveraging unparalleled clinical and financial datasets to deliver insight into the healthcare system’s performance.
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