Audit Support COB and DM

Cotiviti

20d•$18 - $20•Remote

About The Position

Overview 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. Responsibilities This individual will work under the direct supervision of a Team Lead and/or Manager, providing a valuable learning experience and growth opportunities. Collaborates 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. Communicates 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. Enters accurate member, group, and claim information into Cotiviti tools (Recovery Management Systems, SharePoint, COB Tracker, Client Systems). Ensures confidentiality and security of all data, adhering to all HIPAA (Health Insurance Portability and Accountability) laws and requirements. Demonstrates the skills, knowledge, and ability to ensure that our environment is a safe one, complying with industry standards. Demonstrates understanding of Cotiviti policies & procedures, and external regulatory requirements and performs duties in accordance with such regulatory requirements. Meet or exceeds standards for productivity and quality as identified by guidelines as set forth by the Team Lead and/or Manager. This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.

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. (Example: Retrieval Agent).
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.
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.
Must have strong emotional intelligence to understand and respond to the needs of customers with empathy and respect.
Ability to manage stress in a fast-paced or high-pressure environment. Demonstrates resilience and maintains composure when handling multiple tasks or facing unexpected challenges.
Strong attention to detail, with the ability to identify errors and ensure accuracy in tasks such as data entry, documentation, and communication.
Strong verbal and written communication skills to effectively convey information to colleagues and clients. Must be able to adjust communication style depending on the audience.
Ability to adapt to changes in workflows, new systems, or unexpected situations. Must be flexible in adjusting priorities and tasks based on shifting demands.
Must be able to prioritize and manage time effectively, balancing multiple tasks and meeting deadlines. Organizational skills are necessary to stay on top of tasks and responsibilities.
Must maintain confidentiality and act with professionalism when handling sensitive information, ensuring compliance with organizational policies and privacy standards.
Demonstrated ability to maintain a positive, customer-focused attitude in all interactions, with a focus on delivering high-quality service and ensuring customer satisfaction.
Remaining in a stationary position, often standing or sitting for prolonged periods.
Communicating with others to exchange information.
Repeating motions that may include the wrists, hands, and/or fingers.
Assessing the accuracy, neatness, and thoroughness of the work assigned.
No adverse environmental conditions expected.
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.

Nice To Haves

Prior experience in an administrative support function and/or office environment (preferred).

Responsibilities

Collaborates 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.
Communicates 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.
Enters accurate member, group, and claim information into Cotiviti tools (Recovery Management Systems, SharePoint, COB Tracker, Client Systems).
Ensures confidentiality and security of all data, adhering to all HIPAA (Health Insurance Portability and Accountability) laws and requirements. Demonstrates the skills, knowledge, and ability to ensure that our environment is a safe one, complying with industry standards.
Demonstrates understanding of Cotiviti policies & procedures, and external regulatory requirements and performs duties in accordance with such regulatory requirements.
Meet or exceeds standards for productivity and quality as identified by guidelines as set forth by the Team Lead and/or Manager.

Benefits

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

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume