Payment Accuracy Specialist (Remote from US)

Jobgether

1d • $29 - $33 • Remote

About The Position

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Payment Accuracy Specialist in the United States. In this role, you will be a key contributor to ensuring accurate and compliant healthcare payments by auditing claims, identifying discrepancies, and supporting the development of high-quality recoverable claims. You will work closely with cross-functional teams, leveraging advanced tools, data analysis, and your healthcare knowledge to improve payment integrity. The position involves mentoring and training less-experienced team members, collaborating on process improvements, and contributing to innovative audit concepts. This role offers the chance to work with large data sets, complex claims, and varied client contracts, all in a supportive, remote-friendly environment. You will be empowered to make meaningful decisions while maintaining a high standard of accuracy, efficiency, and compliance.

Requirements

• High school diploma required; Bachelor’s degree preferred
• 4–6 years of experience in healthcare, payments, or claims auditing; prior experience with Cotiviti strongly preferred
• Strong understanding of claims adjustments, provider contracts, reimbursement policies, and payment integrity
• Proficiency with Microsoft Office Suite, especially Excel; SQL experience preferred
• Excellent analytical, verbal, and written communication skills
• Ability to work independently and in a team, demonstrating initiative and attention to detail
• Skilled in interpreting complex client data, identifying discrepancies, and applying professional judgment

Responsibilities

• Audit client claims and generate high-quality recoverable claims while adhering to regulatory guidelines and client contract requirements
• Develop, implement, and evaluate audit concepts to ensure efficiency, accuracy, and compliance
• Train and mentor team members on audit procedures, tools, and best practices
• Analyze complex reports, identify discrepancies, and recommend process or concept improvements
• Collaborate with cross-functional teams including Engineering, Operations, and Client Services to enhance reporting tools and workflows
• Maintain production and quality standards while meeting targets for claims reviewed, documentation, and recovery accuracy
• Ensure all work complies with HIPAA and internal confidentiality and security requirements

Benefits

• Competitive hourly rate ($29.00–$33.00/hour) with discretionary bonus potential
• Overtime eligibility for non-exempt employees
• Comprehensive health benefits including medical, dental, vision, disability, and life insurance
• 401(k) savings plan
• Paid family leave and 9 holidays per year
• 17–27 days of Paid Time Off (PTO) per year, depending on tenure and level
• Remote-friendly work environment with required home office setup and high-speed internet

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 11-50 employees