Audit Support COB And DM

Audit Support Coordination Of Benefits And Data Mining

This individual will efficiently and professionally handle daily administrative activities within the Coordination Of Benefits and Data Mining departments to assist the audit to meet and exceed client expectations. This role requires exceptional verbal communication by audio as well as attentive attention to detail for data entry-related written communication and follow-ups for both internal and external client inquiries to achieve success in the generation of overpayments.

Responsibilities:

• Collaborates with all levels and members of the COB and 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 laws and requirements.
• Demonstrates understanding of Cotiviti policies and procedures, and external regulatory requirements and performs duties in accordance with such regulatory requirements.
• Meet or exceed standards for productivity and quality as identified by guidelines as set forth by the Team Lead and/or Manager.

Qualifications:

• 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.
• 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.

Mental Requirements:

• 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.
• Ability to adapt to changes in workflows, new systems, or...