COB & Payment Accuracy Analyst

Cotiviti; United States; Remote; USD 28,000 - 33,000; Full time

Benefits offered by this job

Competitive benefits package

401(k) savings plan

Paid holidays and PTO

Job summary

Cotiviti is seeking a Payment Accuracy, COB Specialist to review claims and member data, establish liability order, and input recovery information in Cotiviti tools. The role emphasizes adherence to CMS/NAIC guidelines and HIPAA compliance, with opportunities for growth within Cotiviti's COB Business Unit.

Ideal candidates have a high school diploma, healthcare exposure, and strong data handling skills. A bachelor’s degree is preferred, with competitive benefits and a discretionary bonus

Qualifications

• High School Diploma required.
• Bachelor’s degree preferred and/or 1 year of related healthcare experience.
• At least 1 year Cotiviti experience recommended for internal opportunities.
• Healthcare experience including COB knowledge is preferred.
• Proficiency with Microsoft Office (Word, Excel, Outlook).
• Excellent verbal and written communication skills.

Responsibilities

• Review and analyze claims, member, and group data to identify recoverable claims.
• Determine liability order for clients’ members under supervision.
• Input accurate recovery information in Cotiviti tools.
• Prepare responses to client disputes and inquiries.
• Identify errors and opportunities for process improvement.
• Maintain confidentiality and HIPAA compliance.

Skills

CMS guidelines

NAIC guidelines

Data analysis

Attention to detail

Verbal & written communication

Education

High School Diploma

Bachelor’s degree (Preferred)

Tools

Recovery Management System (RMS)

COB Tracker

Client-specific systems

Job description

Cotiviti is seeking a Payment Accuracy, COB Specialist to review claims and member data, establish liability order, and input recovery information in Cotiviti tools. The role emphasizes adherence to CMS/NAIC guidelines and HIPAA compliance, with opportunities for growth within Cotiviti's COB Business Unit.

Ideal candidates have a high school diploma, healthcare exposure, and strong data handling skills. A bachelor’s degree is preferred, with competitive benefits and a discretionary bonus