Payment Accuracy Manager Job 2024 Full Time

Responsibilities:

• Audit Operations Management. Provides day-to-day supervision and direction to assigned audit team. Ensures operations are running optimally and processes and procedures are being followed. Ensures appropriate staffing levels and to plan and organize workloads and staff assignments according to the needs of the audit. Manages the overall performance, productivity and quality assurance of the assigned audit team. Maximizes opportunities of the audit; optimizes timely audit processes and efficiencies. Involved in formulating all budget related aspects of the audit. Executes and adjusts to budget demands. Drives the profitability of the audit engagement.
• Analytics. Performs complex operational, financial, and statistical analysis, synthesizes results and communicates results to stakeholders. Analyses to include operations, statistics, financial/ROI, and aging. Synthesizes results to identify indicators of poor performance and communicate findings to audit leadership team.
• Client Relations. Co-ownership driver with Audit Director for leveraging opportunities and maintaining rapport; direct broad level interface with the client. Addresses policy or other issues with a long term view of the account relationship.
• People Management. Consistent with good people management practices and company values. Provides managerial leadership and direct the selection, supervision, evaluation and development of staff. Sets objectives and conducts performance reviews for direct reports and oversees the remaining evaluations indirect team members.
• Performance Management. Works with Human Resources to recommend and implement performance management, progression, and compensation actions as warranted. Resolves employee concerns and other sensitive people issues consistent with Human Resources policies and guidelines.
• Staff Training & Development. Follows established processes for training and career progression to enable revenue growth and auditor and support staff development and engagement. Promotes & participates in knowledge sharing activities such as best practices, benchmarking, whitepapers and IT tools enhancement. Ensures that all levels of staff are properly trained on policies, procedures and best practices and that proper training, education and required certifications are maintained as required.
• Audit Concepts Development. Highly involved in the development and review of new and existing concepts. Ensures achievement of desired goals in terms of recoveries, collectability and client acceptance.

Qualifications:

• Bachelor’s degree preferred
• Four (4) years of Cotiviti direct audit experience or five (5) years related experience (healthcare billing, healthcare/medical claims, reimbursement, analytics) required.
• At least one (1) year management experience required; people management experience strongly preferred.
• Prior Healthcare experience required.
• Prior experience with direct client contact (account management, audit, sales, etc.) required.
• Computer proficiency in Microsoft Excel, Access and claim databases are required.
• Requires working knowledge of and applicable industry based standards.
• Excellent verbal and written communication skills.
• Ability to work well in an individual and team environment.

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

• Occasional Travel (10% – 15%) as direct by Senior Leadership.
• 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 able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access/connectivity and office setup and maintenance.