What is the role of a Payment Accuracy Specialist at Jobgether?

The Payment Accuracy Specialist position at Jobgether is a Full-time or part-time position opportunity in the Admin/Clerical/Secretarial field.

Where is this Payment Accuracy Specialist job located?

United States, Other / Non-US, United States

What type of employment is offered for this Payment Accuracy Specialist role?

Full-time or part-time position

What is the expected salary for this Payment Accuracy Specialist job?

Compensation will be discussed during the hiring process.

How can I apply for the Payment Accuracy Specialist position at Jobgether?

You can apply directly through the application link provided.

Payment Accuracy Specialist at Jobgether

Payment Accuracy Specialist

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Payment Accuracy Specialist in United States.

This role offers the chance to play a key part in ensuring healthcare payment integrity through advanced claims auditing and analysis. The Payment Accuracy Specialist will work with large datasets to uncover billing compliance issues, perform detailed audits, and identify recoverable claims. The position involves collaborating with internal teams to develop, implement, and refine audit processes, while providing mentorship to less-experienced colleagues. You will be responsible for maintaining high standards of accuracy, quality, and productivity, and for recommending improvements to existing workflows. This position requires a strong attention to detail, proficiency with data tools, and the ability to communicate findings clearly to both peers and stakeholders. Ideal candidates thrive in a fast-paced, remote-friendly environment and are motivated by the impact of their work on improving healthcare outcomes.

Accountabilities:

Conduct audits on healthcare claims using proprietary systems and reporting tools, identifying recoverable claims and compliance issues.
Develop and implement audit concepts, procedures, and validation methods, ensuring high-quality results.
Mentor and train less-tenured team members, sharing expertise and best practices.
Perform advanced analysis of paid claims to uncover insights and support process improvement initiatives.
Collaborate with internal engineering and analytics teams to optimize reporting systems and tools.
Ensure adherence to client contracts, reimbursement policies, and HIPAA regulations.
Maintain productivity and quality standards, meeting or exceeding audit goals and metrics.

Requirements:

High school diploma required; bachelors degree preferred or equivalent experience (46 years) in healthcare.
Minimum 34 years of experience in claims auditing or payment accuracy, preferably within healthcare.
Knowledge of claim adjustments, provider contracts, reimbursement policies, and payment integrity processes.
Proficiency with Microsoft Office (Excel, Word, Outlook, Access); SQL experience strongly preferred.
Strong analytical skills and attention to detail, with the ability to work independently and in a team environment.
Excellent verbal and written communication skills.
Ability to handle large datasets, validate reports, and provide actionable insights.
Strong interest in continuous improvement and process optimization.

Benefits:

Competitive hourly pay ($29.00 $33.00 per hour) with eligibility for discretionary bonus.
Overtime pay eligibility for nonexempt employees.
Comprehensive healthcare coverage including medical, dental, and vision insurance.
401(k) savings plan with company contributions.
Paid Time Off (1727 days, based on tenure) and 9 paid holidays annually.
Paid family leave.
Professional development and career growth opportunities.
Remote-friendly work environment with secure connectivity requirements.

Why Apply Through Jobgether?

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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Payment Accuracy Specialist at Jobgether – United States

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