[Hiring] Senior Payment Accuracy Specialist @Cotiviti

Role Description

The Senior Specialist position is responsible for developing new and existing audit concepts, gaining client acceptance, training all audit levels to execute audit projects, and evaluating the effectiveness of audit concepts. The goal of the position is to generate high-quality recoverable claims for the benefit of Cotiviti and our clients. Conducts and documents more complex audit projects independently. This is the most senior skill level which may include supervisory responsibility. Assists Audit Managers in managing audit productivity, achieving expected quality and revenue goals. Considered a mentor, trainer, and developer of less tenured Audit team members.

Responsibilities

• Generates and develops new audit concepts.
• Utilizes healthcare and auditing experience to perform audit procedures.
• Leads concept development across multiple audit verticals.
• Develops new tools and processes in collaboration with Business Optimization and audit team.
• Directs ownership for quality control by reviewing all level auditor claims.
• Prepares responses to client disputes.
• Reviews provider contracts as a subject matter expert.
• Validates new claim types and ensures effectiveness.
• Participates in auditor development and training.
• Responsible for performing quality control processes.

Qualifications

• Bachelor's degree preferred.
• Three (3) years of Cotiviti direct audit experience OR four (4) years related experience (healthcare billing, healthcare/medical claims, reimbursement, analytics) required.
• Experience using SQL required.
• Computer proficiency in Microsoft Excel, Access, and system databases required.
• Ability to mentor staff and enhance performance.
• Prior healthcare billing and/or claims experience desired.
• Excellent verbal and written communication skills.
• Ability to work well in an individual and team environment.

Requirements

• Communicating with others to exchange information.
• Assessing the accuracy, neatness, and thoroughness of the work assigned.
• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must be able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
• No adverse environmental conditions expected.

Benefits

• Base compensation ranges from $37.75 to $40.25 per hour.
• Eligible for discretionary bonus consideration.
• Nonexempt employees are eligible for overtime pay for hours worked in excess of 40 hours in a given week.
• Competitive benefits package including medical, dental, vision, disability, and life insurance coverage.
• 401(k) savings plans.
• Paid family leave.
• 9 paid holidays per year.
• 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service.