Audit Support COB and DM

Overview

The Coordination of Benefits (COB) & Data Mining (DM) Audit Support is a member of the greater Coordination of Benefits and Data Mining Business Units (BUs.) 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.
• Partners with all levels and members of the COB & DM auditing team to provide a variety of support and general task-based assignments in support of the 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.
• Complete all responsibilities as outlined on annual Performance Plan.
• Complete all special projects and other duties as assigned.
• Must be able to perform duties with or without reasonable accommodation.

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.

Qualifications

• High School Diploma or General Educational Development (GED) Required.
• 0 –1 years of prior experience.
• 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.

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 able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
• No adverse environmental conditions expected.

Base compensation ranges from $17.50 per hour to $19.60 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

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.

Date of posting: 9/16/2024

Applications are assessed on a rolling basis. We anticipate that the application window will close on 9/23/2024, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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