Payment Accuracy COB Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $26 - $29 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Cotiviti

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

💳 Fintech

🤖 Artificial Intelligence

Healthcare Insurance • Fintech • Artificial Intelligence

Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.

📋 Description

• Collaborates with all levels of the business upon assigned projects and deliverables • Produces knowledge as a Subject Matter Expert (SME) providing knowledge share to Specialists • Introduces new ideas, research, and creative thinking • Operates with the distribution of inventory and isolate to designate filters and queries • Works with multi-clients to produce impact and outcomes • Has an in-depth understanding of CMS and NAIC guidelines • Demonstrates advanced level of understanding of query and filter construction • Utilizes Cotiviti audit tools to complete member investigations • Creates detail-oriented, accurate notes in Cotiviti audit tools • Prepares and evaluates responses to client disputes • Identifies and solves problems by identifying errors and overpayments

🎯 Requirements

• High School Diploma Required • Bachelor’s degree (Preferred) • Minimum of at least 2-4 years related experience in healthcare • At least 1-2 years Cotiviti experience recommended • Healthcare industry experience, including knowledge of Coordination of Benefits • Computer proficiency including Microsoft Office (Word, Excel, Outlook) • Excellent verbal and written communication skills • Strong interest in working with large data sets and various databases

🏖️ Benefits

• Health insurance • 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