Audit Support COB and DM

Cotiviti

73d • $17 - $19

About The Position

The Coordination of Benefits (COB) & Data Mining (DM) Audit Support is a member of the greater Coordination of Benefits and Data Mining teams. This individual will efficiently and professionally handle daily administrative activities within the COB and DM departments to assist the audit to meet and exceed client expectations. This role requires exceptional verbal communication by audio as well as attentive attention to detail for data entry-related written communication and follow–ups for both internal and external client inquiries to achieve success in the generation of overpayments.

Requirements

• High School Diploma or General Educational Development (GED) or equivalent education is required.
• 1 year of prior experience, including entry-level candidates, are welcome to apply.
• At least 1 year of Cotiviti experience is recommended for individuals seeking their next opportunity internally.
• Prior experience in an administrative support function and/or office environment (preferred).
• Computer proficiency in Microsoft Office applications.
• Excellent verbal and written communication skills.
• Ability to work well in an individual and team environment demonstrating self-motivation to deliver success.
• Strong attention to detail in documentation and review of information.

Nice To Haves

• Understands and embodies Cotiviti’s Core Values, Strategic Pillars, and Operational Disciplines to achieve successful performance in completing assigned responsibilities and interactions with the Organization both internally and externally.

Responsibilities

• Work under the direct supervision of a Team Lead and/or Manager, providing a valuable learning experience and growth opportunities.
• Collaborate with all levels and members of the COB & DM auditing team to provide diverse support and task-based assignments, contributing to the achievement of business objectives and goals for the calendar year.
• Communicate directly with Medicare, Insurance companies, Providers, and/or Employer groups to obtain pertinent member eligibility details that will impact the correct order of member liability.
• Enter accurate member, group, and claim information into Cotiviti tools (Recovery Management Systems, SharePoint, COB Tracker, Client Systems).
• Ensure confidentiality and security of all data, adhering to all HIPAA laws and requirements.
• Demonstrate understanding of Cotiviti policies & procedures, and external regulatory requirements and perform duties in accordance with such regulatory requirements.
• Meet or exceed standards for productivity and quality as identified by guidelines set forth by the Team Lead and/or Manager.

Benefits

• Medical, dental, vision, disability, and life insurance coverage.
• 401(k) savings plans.
• Paid family leave.
• 9 paid holidays per year.
• 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees