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Payment Integrity Lead

Company: VirtualVocations
Location: Vista
Posted on: May 5, 2025

Job Description:

A company is looking for a Payment Integrity Lead - Coordination of Benefits (COB).
Key Responsibilities

Manage inventory and ensure financial accuracy of the Coordination of Benefits program
Lead payer priority determination and complex claims resolution processes
Train and develop staff while collaborating with vendors and internal teams

Required Qualifications

Bachelor's degree in Business Administration, Computer Science, or related field, or equivalent experience
5 years of experience with Coordination of Benefits (COB) and claims management
Experience with health plan operations, claims payment, and vendor management
Familiarity with document management software and claims adjudication systems
Strong analytical skills for inventory management and process validation

Keywords: VirtualVocations, Malibu , Payment Integrity Lead, Other , Vista, California

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