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Cotiviti · 2 days ago

Payment Accuracy COB Specialist 2

United States

Full-time

Remote

Entry, Mid Level

$26/hr - $29/hr

2+ years exp

Cotiviti is a company focused on improving healthcare payment accuracy. The Payment Accuracy, Coordination of Benefits (COB) Specialist 2 position involves auditing complex projects, providing subject matter expertise, and ensuring compliance with healthcare regulations while working with multiple clients.

Information Technology & Services

H1B Sponsor Likely

Responsibilities

Collaborates when available with all levels of the business upon assigned projects and deliverables

Produces knowledge as a Subject Matter Expert (SME) providing knowledge share to Specialists and Specialist 1’s to gain experience within their assigned roles

Introduces new ideas, research, and creative thinking through an innovative scope

Operates with the distribution of inventory and isolation to designate and distribute filters, queries, and/or call assignments to team members

Working with multi–clients to produce impact and outcomes, this individual will have advanced auditing skills as well as the ability to perform quality checks, export, appeals, comp intel, etc

Has an in-depth understanding of Centers for Medicare and Medicaid Services (CMS) and National Association of Insurance Commissioners (NAIC) guidelines to establish the correct order of liability

Has the ability to independently member select in Cotiviti tools, with a full understanding of client parameters

Demonstrates advanced level of understanding of query and filter construction to identify opportunities

Utilizes Cotiviti audit tools (Recovery Management System (RMS), COB Tracker, specific client systems) to complete member investigations

Creates detail-oriented, accurate notes in Cotiviti audit tools and/or client tools throughout the member investigation

Meets or exceeds standards of production and quality as identified by compliance and regulatory guidelines and set forth by the Team Lead and/or Manager when reviewing concept and claim identifications for the client

Prepares and evaluates responses to client disputes both internally and externally within the Business Unit as needed

Identify and solve problems by identifying errors and overpayments for our healthcare clients

Identifies opportunities for continuous improvement for efficiencies within reporting and streamline research processes

Has an in depth understanding of Cotiviti policies & procedures, and external regulatory requirements and performs duties in accordance with such regulatory requirements

Has an advanced understanding of the healthcare industry, as well as proven track record of delivering results

Assures 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

Has ability to take responsibility for outcome, whether positive or negative and apply learning as applicable

Integrates information from various sources and considers broader context

Creates innovation to enhance the standard operating rhythm finding new pathways to complete work expectations

Actively seeks information to understand rationale and provide exceptional results beyond basic standards

Qualification

Healthcare industry experienceCoordination of Benefits knowledgeCotiviti tools proficiencyData analysis skillsMicrosoft Office proficiencyCommunication skillsTeamwork abilitiesSelf-motivation

Required

High School Diploma Required

Healthcare industry experience, including knowledge of Coordination of Benefits. (Required)

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

Ability to work well in an individual and team environment demonstrating self–motivation to deliver success

Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines to achieve successful performance in completing assigned responsibilities and interactions with the Organization both internally and externally

Preferred

Bachelor's degree (Preferred) and/or a minimum of at least 2- 4 years related experience in healthcare

At least 1-2 years Cotiviti experience is recommended for individuals seeking their next opportunity internally. (Example: Employees in current COB Specialist 1 and/or Payment Accuracy Specialist 2 roles)

Benefits

Medical

Dental

Vision

Disability

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

Glassdoor3.7

Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States.

Founded in 1979

South Jordan, UT, US

5001-10000 employees

http://www.cotiviti.com

H1B Sponsorship

Cotiviti has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (165)

2024 (118)

2023 (90)

2022 (102)

2021 (72)

2020 (67)