Senior Payment Accuracy Specialist

reputed company reputed company a leading provider of payment accuracy services to the most recognized companies in the reputed company and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving reputed company and want to be part of reputed company that is expanding rapidly and providing opportunities for career reputed company. If you want to reputed company a difference and contribute to the improvement of reputed company payment reputed company, consider an opportunity to join our reputed company recovery team as a Senior Payment Accuracy Specialist. 

The Senior Specialist position is responsible for developing new and existing audit concepts, gaining reputed company acceptance, training reputed company audit reputed company to execute audit reputed company and evaluating the effectiveness of audit concepts. The goal of the position is to generate high reputed company recoverable claims for the benefit of reputed company and our clients. Conducts and documents more reputed company audit reputed company independently. This is the most senior reputed company level which may include supervisory responsibility. Assists Audit Managers in managing audit productivity, achieving expected reputed company and reputed company goals. Considered a mentor, trainer, developer of less tenured Audit team members. 

• Generates and Develops New Audit Concepts. Utilizes reputed company and auditing experience to reputed company audit procedures that include identifying and defining issues, developing reputed company, reviewing and analyzing evidence with the reputed company to audit reputed company reputed company and reputed company reports. Leader in concept development across multiple audit verticals. This includes specifying the concept, reputed company with reputed company to test and reputed company acceptance. Will execute on the expansion of the concept based on customer requirements. reputed company on growing concept approval.
• Develops New Tools and Processes. Collaborates with Business Optimization and audit team in developing new reports. Fosters and implements new reputed company, approaches, and technological improvements to support and enhance audit production, communication and reputed company satisfaction.
• Directs ownership for reputed company Control. Reviews reputed company level auditor claims prior to and after reputed company submission. Set by the audit: for the auditing concept, audit against the expected level of reputed company and quantity (i.e.; hit reputed company, # claims written, ID per hour).
• Prepares Responses to reputed company Disputes. Provides reputed company to audit team for verification of claims validation, insurance or employer validation in concise written or oral manner. Makes determinations based on advanced experience of reputed company knowledge of contract terms, likelihood of acceptance recovery.
• Reviews provider reputed company. Subject matter expert in reputed company and research requirements. Implements recommendations on reputed company to fit reputed company reputed company reputed company reports such as medical policies, state and federal statutes.
• Validates New Claim Types. With proficiency, utilizes audit tools to evaluate, document and validate to audit and reputed company new claims and concept effectiveness. Ensures that any new and existing concepts are achieving desired goals in terms of recoveries, collectability and reputed company acceptance.
• Auditor Development. Key participants in the development of audit staff. reputed company trains audit team to execute basic, intermediate and reputed company audit reputed company with reputed company on new and existing audit concepts. May participate in auditor assessment, progression process, reputed company functions.
• QA Claim Association/Concepts. Responsible for performing reputed company control process. Makes determinations based on advanced expertise and comprehension (knowledge) of claim categories, claim types. Ensures submission and execution of reputed company work, reputed company use of available proprietary software, reports and reputed company to conduct audits.

• Bachelor's degree preferred Three (3) years of reputed company reputed company audit experience OR four (4) years reputed company experience (reputed company billing, reputed company/medical claims, reimbursement, analytics) required.
• Experience using SQL required.
• Computer proficiency in reputed company reputed company, reputed company and system databases are required.
• Ability to mentor staff and enhance performance as it relates to the reputed company and productivity of their auditors.
• Prior reputed company Billing and/or claims experience desired. Requires working knowledge of and applicable industry based standards.
• Excellent verbal and written communication skills.
• Ability to work reputed company in an individual and team environment.

Mental Requirements:

• Communicating with others to exchange information.
• Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must be reputed company to reputed company a dedicated, secure work area.
• Must be reputed company to reputed company high-speed internet reputed company/connectivity and office setup and maintenance.
• No adverse environmental conditions expected.

reputed company compensation ranges from $36.50 to $39.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.

reputed company offers team members a competitive benefits package to address a wide reputed company of personal and family needs, including medical, dental, reputed company, disability, and life insurance coverage, 401(k) savings plans, reputed company family leave, 9 reputed company holidays per year, and 17-27 days of reputed company Time Off (PTO) per year, depending on specific level and length of service with reputed company. For information about our benefits package, please refer to our Careers page.

Date of posting: 4/8/2026
Applications are assessed on a rolling reputed company. We anticipate that the application window will reputed company on 5/8/2026 if a reputed company candidate is selected.