Payment Accuracy COB Specialist 2

About the role

A Payment Accuracy, Coordination of Benefits (COB) Specialist 2 is a member of the Coordination of Benefits Business Unit (BU). This role involves situations where an individual is covered by two or more health plans. The Specialist 2 position is a subject matter expert (SME) who introduces new ideas, conducts research, and applies creative thinking.

Responsibilities

• Collaborates with all levels of the business on assigned projects and deliverables.
• Produces knowledge as a Subject Matter Expert (SME) to share with Specialists and Specialist 1's to gain experience within their roles.
• Introduces new ideas, research, and creative thinking through an innovative scope.
• Distributes inventory and isolates tasks to designate and distribute filters, queries, and/or call assignments to team members.
• Works with multiple clients to produce impact and outcomes, performing advanced auditing, quality checks, exports, appeals, comp intel, etc.
• Has an in-depth understanding of Centers for Medicare and Medicaid Services (CMS) and National Association of Insurance Commissioners (NAIC) guidelines to establish the correct order of liability.
• Independently member selects in Cotiviti tools, with a full understanding of client parameters.
• Utilizes Cotiviti audit tools (Recovery Management System (RMS), COB Tracker, specific client systems) to complete member investigations.
• Creates detailed, accurate notes in Cotiviti audit tools and/or client tools throughout the member investigation.
• Maintains compliance with standards of production and quality as identified by compliance and regulatory guidelines.
• Prepares and evaluates responses to client disputes both internally and externally within the Business Unit as needed.
• Identifies and solves problems by identifying errors and overpayments for healthcare clients.
• Identifies opportunities for continuous improvement for efficiencies within reporting and streamline research processes.
• Ensures confidentiality and security of all data, adhering to all HIPAA laws and requirements.
• Ensures the environment is safe and complies with industry standards.
• Takes responsibility for outcomes, whether positive or negative, and applies learning as applicable.
• Creates innovation to enhance the standard operating rhythm and find new pathways to complete work expectations.
• Actively seeks information to understand rationale and provide exceptional results beyond basic standards.

Qualifications

• High School Diploma Required.
• Bachelor’s degree (Preferred) and/or a minimum of 2-4 years related experience in healthcare.
• At least 1-2 years Cotiviti experience is recommended for individuals seeking their next opportunity internally (e.g., current COB Specialist 1 and/or Payment Accuracy Specialist 2 roles).
• Healthcare industry experience, including knowledge of Coordination of Benefits.
• 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.
• Ability to work well in an individual and team environment demonstrating self-motivation to deliver success.
• Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines to achieve successful performance.

Pay

Base compensation ranges from $26.75 to $29.75 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Schedule

This role is eligible for discretionary bonus consideration.

Benefits

• Competitive benefits package including medical, dental, vision, disability, and life insurance coverage.
• 401(k) savings plans.
• 9 paid holidays per year.
• 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.

Application Information

The application window will close on 7/14/2026, but may change depending on the volume of applications received or close immediately if a qualified candidate is selected.