Audit Support COB And DM - Remote Eligible

Audit Support Coordination Of Benefits And Data Mining

This individual will efficiently and professionally handle daily administrative activities within the Coordination Of Benefits (COB) and Data Mining (DM) 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 include:

• Collaborating 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.
• Communicating 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.
• Entering accurate member, group, and claim information into Cotiviti tools (Recovery Management Systems, SharePoint, COB Tracker, Client Systems).
• Ensuring confidentiality and security of all data, adhering to all HIPAA laws and requirements.
• Demonstrating understanding of Cotiviti policies and procedures, and external regulatory requirements and performing duties in accordance with such regulatory requirements.
• Meeting or exceeding standards for productivity and quality as identified by guidelines as set forth by the Team Lead and/or Manager.

Qualifications include:

• High School Diploma or General Educational Development (GED) or equivalent education.
• 1 year of prior experience, including entry-level candidates.
• 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.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities