Hiring: Payment Accuracy Specialist 1 (Coordination of Benefits) Company: Cotiviti Location: United States Job Posted Time: 2026-09-15 13:44:37 Target Skills & Keywords : HIPAA, Medicaid, Medicare, Microsoft Excel, Microsoft Office About the job Experience: •1-2 years of Cotiviti experience is recommended for individuals seeking their next opportunity internally (e.g., employees in current COB Specialist or Payment Accuracy Specialist roles). •2 years of Cotiviti experience is recommended for individuals seeking their next opportunity internally (e.g., employees in current COB Specialist or Payment Accuracy Specialist roles). Required Skills: •This individual will work under limited supervision and will be monitored for efficiency in production and quality review of assigned work. •Demonstrates the ability to excel both independently and as a collaborative team player. •The scope of work involves complex member selections and multi-client impacts. •Capability and comfort in running and establishing queries and filters for construction and data reports. •Demonstrates proactive problem-solving skills and a keen ability to resolve data-related challenges efficiently, contributing to a solution-driven environment. •Possesses an in-depth knowledge of Centers for Medicare and Medicaid Services (CMS) and National Association of Insurance Commissioners (NAIC) guidelines, crucial for determining liability accurately. •Utilizes Cotiviti audit tools (Recovery Management System (RMS), COB Tracker, specific client systems) to complete member investigations. •Creates detail-oriented, accurate notes in Cotiviti audit tools and/or client tools throughout the member investigation. Qualifications: •High School Diploma - Required. •Bachelor’s degree (Preferred) and/or a minimum of at least two (2) years related experience in healthcare. •At least 1-2 years of Cotiviti experience is recommended for individuals seeking their next opportunity internally (e.g., employees in current COB Specialist or Payment Accuracy Specialist roles). •Healthcare industry experience, including knowledge of Coordination of Benefits (Required). •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. •Demonstrated capacity to work well in an individual and team environment demonstrating self–motivation to deliver success. •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. •Demonstrates strong critical thinking skills, with the ability to assess complex situations, identify key issues, and propose practical solutions. Able to approach challenges methodically and with a strategic mindset. 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!