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Role Description

The Yield Support team works to facilitate daily administrative activities efficiently and professionally within the department and business unit by assisting our Data Mining (DM) and Coordination of Benefits (COB) Specialists, Recovery Operations, Revenue Cycle, and Inventory Management Specialists teams, to achieve success as an overall organization. This team will also work with the greater leadership team to improve and manage our business optimizations as well as meet and exceed our goals and deliver exceptional customer expectations both internally and externally.

As a Yield Support Specialist this role is under direct supervision of the assigned Team Lead. This position will work with the team and department to ensure vendor compliance with quality standards and/or regulatory requirements established by the Government and/or by the client organization to achieve the highest level of integrity at Cotiviti.

This role will act as a point of contact for the business unit in facilitating responses to general inquiries and data requests from both internal and external customers for basic level assigned work.

Responsibilities

• Perform a variety of support and general administrative assignments in support of the audit or auditors, including filing, data entry, tracking and correspondence following established standards and work processes.
• Obtain data files and/or generate reports for audits by identifying appropriate file parameters extracting data from downloaded and/or imported data files as requested by auditor.
• Review client systems and update Cotiviti systems accordingly.
• Serve as a point of contact and facilitate responses to general inquiries and data requests from both internal and external customers.
• Communicate directly with the client or providers following established processes and procedures.
• Provide proofing support on claims submittals to double check totals, verbiage, calculations, or general accuracy prior to client submission.
• Maintain productivity goals and standards set by the department.
• Ensure all department rules and processes are followed; alert manager of system issues or other issues impacting productivity.
• Achieve the expected level of quality set by the department; verify completeness and accuracy of work.
• Alert manager of issues or concerns impacting quality of work.
• Ensure vendor compliance with quality standards and/or regulatory requirements established by the government or by the client organization.
• Identify sources of information and execute processes ensuring information is disseminated and updated.
• Collaborate with Information Technology departments to develop knowledge-sharing technology products or solutions.
• Execute all functions with a focus on accuracy and efficiency.
• Maintain all regulatory guidelines including HIPAA compliance.
• Demonstrate understanding of Cotiviti policies & procedures, and external regulatory requirements.
• Perform duties in accordance with regulatory requirements; assure confidentiality and security of all data, adhering to all HIPAA laws and requirements.
• Adhere to all critical operations and client specific requirements.
• Perform work under direct supervision; handle basic issues and problems and refer more complex issues to higher-level members of the team.
• Quickly adapt to learning and understanding of basic elements and concepts of audit operations.
• Demonstrate enthusiasm for learning and applying knowledge to the completion of tasks.
• Successfully integrate and execute new assignments with moderate guidance and direction.
• Demonstrate adeptness in gathering data, analyzing problems, evaluating options, and developing/implementing creative solutions to job challenges.
• Make logical, well-reasoned and timely decisions, seeking guidance and support as appropriate.
• Demonstrate competency with tools of the job including but not limited to filing systems, computers, word processing & spreadsheet applications, web systems, Cotiviti and Client systems, data file structures and Power Point.
• Plan, organize, and prioritize multiple tasks and ensure timely completion.
• Complete all responsibilities as outlined on annual Performance Plan.
• Complete all special projects and other duties as assigned.
• Must be able to perform duties with or without reasonable accommodation.

Qualifications

• 0 - 1 years of related experience and/or High School Diploma or equivalent education.
• 1 to 2+ years administrative support preferred.
• Billing or coding experience preferred.
• Computer proficiency in Microsoft Office applications and system databases are required.
• Requires working knowledge of and applicable industry-based standards.
• Excellent verbal and written communication skills.
• Ability to work well in an individual and team environment.
• Ability to create and maintain collaborative partnerships.

Requirements

• Communicating with others to exchange information.
• Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions

• 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 $17.50 to $19.50 per hour.
• Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.
• Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage.
• 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.