Cotiviti · 6 hours ago
Audit Support COB and DM
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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.
Qualification
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Required
High School Diploma or General Educational Development (GED) Required.
0 –1 years of prior experience.
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.
Preferred
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.
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, depending on specific level and length of service with Cotiviti.
Company
Cotiviti
Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the quality and sustainability of how healthcare is delivered in the United States.
Funding
Current Stage
Late StageLeadership Team
Recent News
2024-04-07
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