Yield Support Specialist

Yield Support Specialist

The Yield Support team facilitates daily administrative activities efficiently and professionally within the department and business unit by assisting Data Mining (DM) and Coordination of Benefits (COB) Specialists, Recovery Operations, Revenue Cycle, and Inventory Management Specialists teams. This team also collaborates with the leadership team to improve and manage business optimizations, meet and exceed goals, and deliver exceptional customer expectations.

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

This role acts 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 and extracting data from downloaded and/or imported data files as requested by auditor.
• May be required to 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.
• As requested or required, 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 and 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, verifying completeness and accuracy of work.
• Alert manager of issues or concerns impacting the 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, and perform duties in accordance with such regulatory requirements.
• Assure confidentiality and security of all data, adhering to all HIPAA laws and requirements.
• Demonstrate the skills, knowledge, and ability to ensure that our environment is a safe one, complying with industry standards.
• Adhere to all critical operations and client-specific requirements.
• Perform work under direct supervision, handling basic issues and problems, and referring more complex issues to higher-level team members (Senior and/or Team Lead).
• Quickly adapt to learning and understanding basic elements and concepts of audit operations, demonstrating enthusiasm for learning and applying knowledge to task completion.
• 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 PowerPoint.
• Efficiently download and format common file types.
• Demonstrate the ability to plan, organize, and prioritize multiple tasks and ensure timely completion.
• Use a structured and dependable approach to accomplishing assigned work.
• Complete all responsibilities as outlined on the 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.
• 1-2+ years of administrative support preferred.
• Billing or coding experience preferred.
• Computer proficiency in Microsoft Office applications and system databases is 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.

Mental 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.

Compensation and Benefits

Base compensation ranges from $17.75 to $19.75 per hour. Specific offers are determined by factors such as experience, education, skills, certifications, and other business needs. 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 a competitive benefits package including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays, and 17-27 days of Paid Time Off (PTO) per year, depending on level and length of service.

Key skills/competency

• Administrative Support
• Data Entry
• Auditing
• HIPAA Compliance
• Customer Service
• Microsoft Office Suite
• Communication Skills
• Problem-Solving
• Time Management
• Attention to Detail