Hiring: Payment Accuracy COB Specialist Company: Cotiviti Location: United States Job Posted Time: 2026-09-10 13:44:38 Target Skills & Keywords : HIPAA, Medicaid, Medicare, Microsoft Excel, Microsoft Office About the job Required Skills: •This individual will work under direct supervision and will be monitored for efficiency in production and quality review of assigned work. •Demonstrates a strong ability to proactively develop and uphold a solid grasp of Centers for Medicare and Medicaid Services (CMS) and National Association of Insurance Commissioners (NAIC) guidelines to accurately determine liability order. •Leverages cutting-edge Cotiviti audit tools such as the Recovery Management System (RMS), COB Tracker, and client-specific systems to conduct thorough member investigations. •Creates detail-oriented, accurate notes in Cotiviti audit tools and/or client tools throughout the member investigation. •Meets or exceeds standards of production and quality as identified by compliance and regulatory guidelines and set forth by the Team Lead and/or Manager when reviewing concept and claim identifications for the client. •Prepares and evaluates responses to client disputes both internally and externally within the Business Unit as needed. •Identify and solve problems by classifying errors and overpayments for our healthcare clients. •Identifies opportunities for continuous improvement for efficiencies within reporting and streamlining research processes. Qualifications: •High School Diploma - Required. •Bachelor’s degree (Preferred) and/or a minimum of one (1) year of related experience in healthcare. •At least 1-year Cotiviti experience is recommended for individuals seeking their next opportunity internally. (Example: Retrieval Agent and/or Audit Support positions). •Healthcare industry experience, including knowledge of Coordination of Benefits (Preferred). •Computer proficiency including Microsoft office (Word, Excel, Outlook). •Excellent verbal and written communication skills. •An enthusiasm for working with large datasets and diverse databases will set you up for success in this position. •You thrive in both individual and team environments, showcasing self-motivation and determination to achieve success. •Understands and embodies Cotiviti's Core Values, Strategic Pillars, and Operations Disciplines to achieve successful performance in completing assigned responsibilities and interactions with the organization, both internally and externally. •Demonstrated capacity to analyze large volumes of data, identify trends, discrepancies, and anomalies. Must have exceptional attention to detail to ensure accuracy in financial records and audit findings. Compensation: •Competitive benefits and rewards package •Assures confidentiality and security of all data, adhering to all HIPAA (Health Insurance Portability and Accountability) laws and requirements Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!