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Founded in 1979, Cotiviti provides analytics-driven payment and network solutions for the healthcare and retail industries, offering services that help payers, risk-bearing healthc
Audit Support, COB, DM
Location
United States
Posted
63 days ago
Salary
$17 - $19 / hour
Seniority
Junior
Job Description
Audit Support, COB, DM
Cotiviti
• efficiently and professionally handle daily administrative activities within the COB and DM departments to assist the audit to meet and exceed client expectations. • 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.
Job 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.
- 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.
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
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