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Cotiviti

Catches billing errors for health insurers

Audit Support Assistant Retail

Administrative SupportConfirmed live in the last 24 hours
Full-timeMexico City, CDMX, MexicoIn-person

About the Job

Requirements

  • A high school diploma is required.
  • At least 1 year of business-related work experience is required.
  • Strong technical skills in Word, Excel, PowerPoint, and Outlook are required.
  • Working knowledge of applicable industry-based standards is required.
  • A bachelor's degree in Finance, Accounting, Economics, Business Administration, Statistics, Mathematics, or a related field is preferred.
  • Retail corporate office experience is strongly preferred.
  • Excellent verbal and written communication skills are required.
  • The ability to work effectively both independently and in a team environment is required.

Responsibilities

  • Perform filing, data entry, tracking, correspondence, and other administrative assignments in support of audits or auditors, following established standards and work processes.
  • Obtain data files and generate audit reports by identifying appropriate file parameters and extracting data from downloaded or imported files as requested by the auditor.
  • Review client systems and update Cotiviti systems as required.
  • Serve as a point of contact and facilitate responses to general inquiries and data requests from internal and external customers.
  • Communicate directly with clients or providers as requested or required, following established processes and procedures.
  • Proofread claims submissions for totals, wording, calculations, and general accuracy before client submission.
  • Maintain department productivity goals and standards, follow department rules and processes, and alert the manager to system or other issues affecting productivity.
  • Meet department quality expectations, verify work completeness and accuracy, and alert the manager to issues or concerns affecting quality.
  • Coordinate client meetings, attend meetings to take notes, update status reports, and prepare weekly, monthly, and quarterly client reporting.

Desired Qualifications

  • Retail corporate office experience is strongly preferred.
  • A bachelor's degree in Finance, Accounting, Economics, Business Administration, Statistics, Mathematics, or a related field is preferred.

About the Company

Cotiviti

Catches billing errors for health insurers

Cotiviti sells software and review services that help US health insurers pay medical claims correctly, catch fraud, and track the quality of care their members receive. Its software for HEDIS, the care-quality scores US health plans report, has passed certification by the nonprofit NCQA every year since 2001. Insurers run claims through its coding and payment-policy checks before paying them, while its auditors review medical records and paid claims to recover overpayments. Clients pay it software fees or a share of the savings it finds. Cotiviti began in 1979 by auditing retailers' payments to suppliers, which it still does, and it is based in South Jordan, Utah, and owned by private equity firms Veritas Capital and KKR.

Company size
5,001-10,000
Company stage
IPO
Headquarters
South Jordan, UT
Founded
1979

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