[Remote] Audit Support COB and DM
Note: The job is a remote job and is open to candidates in USA. Cotiviti is a company that specializes in healthcare solutions, and they are seeking an Audit Support member for their Coordination of Benefits and Data Mining teams. The role involves handling daily administrative activities, collaborating with team members, and ensuring accurate data entry to assist in audits and exceed client expectations.ResponsibilitiesCollaborates 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 yearCommunicates directly with Medicare, Insurance companies, Providers, and/or Employer groups to obtain pertinent member eligibility details that will impact the correct order of member liabilityEnters 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 requirementsDemonstrates the skills, knowledge, and ability to ensure that our environment is a safe one, complying with industry standardsDemonstrates understanding of Cotiviti policies & procedures, and external regulatory requirements and performs duties in accordance with such regulatory requirementsMeet or exceeds standards for productivity and quality as identified by guidelines as set forth by the Team Lead and/or ManagerSkillsHigh School Diploma or General Educational Development (GED) or equivalent education is required1 year of prior experience, including entry-level candidates, are welcome to applyAt least 1 year of Cotiviti experience is recommended for individuals seeking their next opportunity internally (Example: Retrieval Agent)Computer proficiency in Microsoft Office applicationsExcellent verbal and written communication skillsAbility to work well in an individual and team environment demonstrating self-motivation to deliver successStrong attention to detail in documentation and review of informationUnderstands 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 externallyMust have strong emotional intelligence to understand and respond to the needs of customers with empathy and respectAbility to manage stress in a fast-paced or high-pressure environmentDemonstrates resilience and maintains composure when handling multiple tasks or facing unexpected challengesStrong attention to detail, with the ability to identify errors and ensure accuracy in tasks such as data entry, documentation, and communicationStrong verbal and written communication skills to effectively convey information to colleagues and clientsMust be able to adjust communication style depending on the audienceAbility to adapt to changes in workflows, new systems, or unexpected situationsMust be flexible in adjusting priorities and tasks based on shifting demandsMust be able to prioritize and manage time effectively, balancing multiple tasks and meeting deadlinesOrganizational skills are necessary to stay on top of tasks and responsibilitiesMust maintain confidentiality and act with professionalism when handling sensitive information, ensuring compliance with organizational policies and privacy standardsDemonstrated ability to maintain a positive, customer-focused attitude in all interactions, with a focus on delivering high-quality service and ensuring customer satisfactionRemaining in a stationary position, often standing or sitting for prolonged periodsCommunicating with others to exchange informationRepeating motions that may include the wrists, hands, and/or fingersAssessing the accuracy, neatness, and thoroughness of the work assignedNo adverse environmental conditions expectedMust be able to provide a dedicated, secure work areaMust be able to provide high-speed internet access/connectivity and office setup and maintenancePrior experience in an administrative support function and/or office environmentBenefitsMedicalDentalVisionDisabilityLife insurance coverage401(k) savings plansPaid family leave9 paid holidays per year17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.Company OverviewCotiviti 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. It was founded in 1979, and is headquartered in South Jordan, UT, US, with a workforce of 5001-10000 employees. Its website is http://www.cotiviti.com.Company H1B SponsorshipCotiviti has a track record of offering H1B sponsorships, with 165 in 2025, 118 in 2024, 90 in 2023, 102 in 2022, 72 in 2021, 67 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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