Payment Accuracy COB Specialist

Embedded Shishya; Deutschland; Vor Ort; EUR 45.000 - 65.000; Vollzeit

Zusammenfassung

Jobtailor is seeking a meticulous healthcare data specialist to join our Cotiviti-focused team in Germany. You will collaborate with all levels of the business on assigned projects, act as a SME and share knowledge with specialists, and introduce new ideas and research to improve outcomes.

You will handle inventory distribution concepts, build complex queries and filters, work with multi-clients, and ensure accurate notes in Cotiviti tools.

Qualifikationen

• High School Diploma Required
• Bachelor’s degree (Preferred)
• 2–4 years healthcare experience
• 1–2 years Cotiviti experience recommended
• Healthcare industry experience including Coordination of Benefits
• Proficient with Microsoft Office (Word, Excel, Outlook)
• Excellent verbal and written communication
• Interest in large data sets and databases

Aufgaben

• Collaborates with all levels of the business on assigned projects and deliverables
• Produces knowledge as a SME providing knowledge share to Specialists
• Introduces new ideas, research, and creative thinking
• Operates with inventory distribution; design filters and queries
• Works with multi-clients to produce impact and outcomes
• Has deep understanding of CMS and NAIC guidelines
• Demonstrates advanced query and filter construction
• Utilizes Cotiviti audit tools to complete member investigations
• Creates detailed, accurate notes in audit tools
• Prepares and evaluates responses to client disputes
• Identifies and solves problems by spotting errors and overpayments

Kenntnisse

Query Construction

Filter Construction

Data Analysis

Knowledge of CMS Guidelines

Knowledge of NAIC Guidelines

Coordination of Benefits

Detail-Oriented Note Creation

Problem Identification

Error Detection/Overpayment Resolution

Ausbildung

High School Diploma

Bachelor's degree

Tools

Cotiviti Audit Tools

Microsoft Office

Excel

Word

Outlook

Jobbeschreibung

• Collaborates with all levels of the business upon assigned projects and deliverables
• Produces knowledge as a Subject Matter Expert (SME) providing knowledge share to Specialists
• Introduces new ideas, research, and creative thinking
• Operates with the distribution of inventory and isolate to designate filters and queries
• Works with multi-clients to produce impact and outcomes
• Has an in-depth understanding of CMS and NAIC guidelines
• Demonstrates advanced level of understanding of query and filter construction
• Utilizes Cotiviti audit tools to complete member investigations
• Creates detail-oriented, accurate notes in Cotiviti audit tools
• Prepares and evaluates responses to client disputes
• Identifies and solves problems by identifying errors and overpayments

Requirements

• High School Diploma Required
• Bachelor’s degree (Preferred)
• Minimum of at least 2-4 years related experience in healthcare
• At least 1-2 years Cotiviti experience recommended
• Healthcare industry experience, including knowledge of Coordination of Benefits
• 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

Core Competencies

Demonstrates expertise in healthcare operations, particularly in Coordination of Benefits and Cotiviti audit tools, while effectively collaborating with diverse teams to drive impactful outcomes. Possesses strong analytical skills for problem-solving and data management.

Highest-signal resume keywords

• Cotiviti Experience
• Healthcare Industry Knowledge
• Query and Filter Construction
• Data Analysis
• Communication Skills

ATS Optimization Keywords

Hard Skills

• Query Construction
• Filter Construction
• Data Analysis
• Knowledge of CMS Guidelines
• Knowledge of NAIC Guidelines
• Coordination of Benefits
• Detail-Oriented Note Creation
• Problem Identification
• Error DetectionOverpayment Resolution

Soft Skills

• Collaboration
• Creative Thinking
• Verbal Communication
• Written Communication
• Problem Solving

Industry Keywords

• Healthcare
• Client Disputes
• Inventory Distribution
• Member Investigations
• Data Sets

Tools & Technologies

• Cotiviti Audit Tools
• Microsoft Office
• Excel
• Word
• Outlook