Remote Payment Accuracy & COB Specialist

Cotiviti; Northern (KY); Hybrid; USD 28,000 - 33,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) plan

Paid time off

Paid holidays

Discretionary bonus

Job summary

Cotiviti seeks a Payment Accuracy, COB Specialist to review and analyze patient claims, member data, and group information to identify recoverable claims and establish proper liability order for clients’ members.

You will use Cotiviti tools (RMS, COB Tracker) to input recovery data, maintain detailed notes, and support client disputes while upholding HIPAA confidentiality and data security.

Qualifications

• High School Diploma required.
• Bachelor’s degree preferred or a minimum of one year of related experience in healthcare.
• Healthcare experience including knowledge of Coordination of Benefits (preferred).
• Microsoft Office proficiency (Word, Excel, Outlook).
• Excellent verbal and written communication skills.
• Enthusiasm for working with large datasets and diverse databases.
• Thrives in both individual and team environments; self-motivated.
• Understands Cotiviti's Core Values, Strategic Pillars, and Operations Disciplines.

Responsibilities

• Review and analyze claims, member, and group data to identify recoverable claims.
• Establish correct order of liability for clients’ members under supervision.
• Utilize Cotiviti audit tools (RMS, COB Tracker, client systems) for investigations.
• Create detailed, accurate notes in audit tools and client systems.
• Meet or exceed production and quality standards per guidelines.
• Prepare and evaluate responses to client disputes.
• Identify and solve problems by classifying errors and overpayments.
• Identify opportunities for process improvement in reporting and research.

Skills

Attention to detail

Excellent verbal and written коммуника

Education

High School Diploma

Bachelor’s degree (Preferred)

Tools

Microsoft Office (Word, Excel, Outlook)

Job description

Cotiviti seeks a Payment Accuracy, COB Specialist to review and analyze patient claims, member data, and group information to identify recoverable claims and establish proper liability order for clients’ members.

You will use Cotiviti tools (RMS, COB Tracker) to input recovery data, maintain detailed notes, and support client disputes while upholding HIPAA confidentiality and data security.