[Remote] Audit Support COB and DM

Note: The job is a remote job and is open to candidates in USA. Cotiviti is a healthcare solutions company, and they are seeking an Audit Support member for their Coordination of Benefits and Data Mining teams. This role involves handling administrative activities, collaborating with the auditing team, and ensuring compliance with HIPAA regulations.

Responsibilities

• Efficiently and professionally handle daily administrative activities within the COB and DM departments to assist the audit to meet and exceed client expectations
• 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 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

Skills

• 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. Demonstrates resilience and maintains composure when handling multiple tasks or facing unexpected challenges
• Strong attention to detail, with the ability to identify errors and ensure accuracy in tasks such as data entry, documentation, and communication
• 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
• Remaining in a stationary position, often standing or sitting for prolonged periods
• Communicating with others to exchange information
• Repeating motions that may include the wrists, hands, and/or fingers
• Assessing the accuracy, neatness, and thoroughness of the work assigned
• Must be able to provide a dedicated, secure work area
• Must be able to provide high-speed internet access/connectivity and office setup and maintenance
• Prior experience in an administrative support function and/or office environment (preferred)

Benefits

• Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.
• Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.

Company Overview

Company H1B Sponsorship