Payment Accuracy COB Specialist 2

🔥 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

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

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

• Collaborate with all levels of the business on assigned projects and deliverables • Serve as a subject matter expert and share knowledge with Specialists and Specialist 1s • Introduce new ideas, research, and creative thinking • Distribute inventory and assign filters, queries, and/or call assignments to team members • Perform advanced audits for multiple clients • Conduct quality checks, exports, appeals, and competitive intelligence work • Apply CMS and NAIC guidelines to establish the correct order of liability • Select members independently in Cotiviti tools according to client parameters • Construct queries and filters to identify opportunities • Use RMS, COB Tracker, and client systems to complete member investigations • Create accurate, detailed notes in audit and client tools • Meet or exceed production and quality standards while reviewing concepts and claim identifications • Prepare and evaluate responses to client disputes • Identify errors and overpayments for healthcare clients • Identify continuous-improvement opportunities in reporting and research processes • Perform duties in accordance with Cotiviti policies, procedures, and regulatory requirements • Maintain confidentiality and security of data in accordance with HIPAA • Develop innovative pathways to improve standard operating processes • Integrate information from multiple sources and deliver results beyond basic standards

🎯 Requirements

• High School Diploma required • Bachelor’s degree preferred • Minimum 2-4 years of related experience in healthcare • Healthcare industry experience with knowledge of Coordination of Benefits required • 1-2 years of Cotiviti experience recommended for internal candidates seeking their next opportunity • Computer proficiency, including Microsoft Office, Word, Excel, and Outlook • Strong interest in working with large data sets and various databases • Ability to analyze large volumes of data and identify trends, discrepancies, and anomalies • Exceptional attention to detail for financial records and audit findings • Strong critical-thinking and problem-solving skills • Ability to make informed decisions based on data, regulations, and auditing standards • Strong understanding of auditing standards, regulations, and industry best practices • Ability to investigate financial records and uncover issues, inconsistencies, or irregularities • Ability to work independently and as part of an audit team • Ability to maintain confidentiality and comply with HIPAA requirements • Ability to provide a dedicated, secure work area • Ability to provide high-speed internet access/connectivity and office setup and maintenance • Ability to remain stationary, often standing or sitting for prolonged periods • Ability to repeat motions involving the wrists, hands, and/or fingers

🏖️ Benefits

• Discretionary bonus consideration • Medical insurance coverage • Dental insurance coverage • Vision insurance coverage • Disability insurance coverage • Life insurance coverage • 401(k) savings plan • 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 • Remote work arrangement • Equal employment opportunity