Payment Accuracy COB Specialist

Working full-time, the Payment Accuracy COB Specialist will review and analyze claims and member data to identify recoverable claims while utilizing proprietary software tools in a healthcare environment. Key responsibilities Review and analyze claims data to establish the correct order of liability for clients' members Utilize Cotiviti audit tools to conduct thorough investigations and document findings accurately Prepare responses to client disputes and identify opportunities for process improvements Required qualifications High School Diploma required; Bachelor's degree preferred with at least one year of related healthcare experience Experience in the healthcare industry, particularly with Coordination of Benefits, is preferred Proficiency in Microsoft Office applications, including Word, Excel, and Outlook Demonstrated ability to work with large datasets and perform detailed data analysis Familiarity with CMS and NAIC guidelines related to claims processing