Audit Support Specialist

Job Summary

To assist the audit process, the full-time Audit Support Specialist will manage daily administrative tasks within the Coordination of Benefits and Data Mining departments, ensuring effective communication with clients and accurate data entry to support the generation of overpayments.

Key responsibilities

• Collaborate with the COB & DM auditing team to support various task-based assignments and achieve business objectives
• Communicate with Medicare, insurance companies, and providers to obtain member eligibility details impacting liability orders
• Accurately enter member, group, and claim information into various tools while ensuring compliance with HIPAA regulations

Required qualifications

• High School Diploma or GED is required
• 1 year of prior experience is preferred, including entry-level candidates
• Experience in an administrative support role is advantageous
• Proficiency in Microsoft Office applications
• Understanding of Cotiviti's policies and external regulatory requirements is recommended