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Auditor (Retail) - Bilingual English / Spanish
OTHERCiudad de México

Summary

Location

Ciudad de México

Type

OTHER

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About this role

Overview

The Auditor Retail role is an entry level position responsible for auditing client data and/or documentation on behalf of Cotiviti’s clients and generating high quality recoverable claims for the benefit of Cotiviti and our clients. Under direct supervision, identifies and inputs recovery claims, voids, or other over-underpayment types. Documents relevant facts, information, and conclusions drawn to support the work performed so other reviewers may validate claim. Communicates audit recommendations to supervisory auditor for evaluation, verification, and continuous learning.

 

This position requires candidates to be fully bilingual with a high level of English proficiency (written & spoken).  This role will report to a US based manager who is not bilingual. 

 

This role is located in our Mexico City office. 

 

If you are interested in applying, please submit an English resume.

Responsibilities

  • Under direct supervision, audit standard reports, smaller/lower profile project-based routines and identify over and under payments of claims.
  • Scope may include auditing paid claims; determining whether an overpayment exists; duplicate payments; identifying incorrect contract or contract rates; data mining.
  • Enter the claim into Cotiviti system accurately and in accordance with standard procedures.
  • Work on less complex/medium standard audit reports with support and may include the review and documentation of claim potentials identified by Auditors and Sr. Auditors.
  • Utilize with increasing proficiency, proprietary reports, tools, and systems required to perform duties.
  • With moderate guidance and direction, timely executes assigned standard reports and updates.
  • Working proficiency with all systems and applications including Decipher and client tools.
  • Maintain production goals and quality standards set by the audit for the auditing concept.
  • Works to meet the expected level of quality and quantity (i.e., fees per hour, vendor/project volume completion, claims written) determined for the audit.
  • Respond to client/vendor disputes or internal QA for claims written.
  • Provide verification of claims validation, in concise written and oral manner.
  • Build a personal proficiency around transaction types, client contracts/vendor agreements, and client data with understanding of how to identify potential over/under payments.
  • 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.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. 

Qualifications

  • Bachelor's Degree in Finance, Accounting and/or Business Administration, or at least four years of equivalent experience required
  • Computer proficiency in Microsoft Office (Word, Excel, Outlook); Access preferred
  • Strong interest in working with large data sets and various databases
  • Retail industry experience desired
  • Excellent verbal and written communication skills
  • Self-motivated and driven to succeed
  • Must have strong English speaking and writing skills

NOTE: All interviews will be conducted in English.

 

Base compensation $19,500/pesos per month. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

 

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs.

 

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Other facts

Tech stack
Bilingual,Auditing,Data Analysis,Communication,Microsoft Office,Attention to Detail,Self-Motivated,Retail Experience

About Cotiviti

Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States. Cotiviti’s solutions increase transparency and collaboration between payers and providers while empowering them to reduce medical and administrative costs, enable better health, improve claims payment efficiency, streamline operations, drive interoperability, and advance value-based care. Its customers serve the majority of U.S. healthcare consumers, providing coverage and care for over 300 million members and patients. Additionally, Cotiviti offers data management and recovery audit services to the retail sector to improve business outcomes. For more information, visit www.cotiviti.com.

Team size: 5,001-10,000 employees
LinkedIn: Visit
Industry: IT Services and IT Consulting

What you'll do

  • The Auditor Retail role involves auditing client data and documentation to identify over and under payments of claims. The position requires accurate data entry and communication of audit recommendations.

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Frequently Asked Questions

What does a Auditor (Retail) - Bilingual English / Spanish do at Cotiviti?

As a Auditor (Retail) - Bilingual English / Spanish at Cotiviti, you will: the Auditor Retail role involves auditing client data and documentation to identify over and under payments of claims. The position requires accurate data entry and communication of audit recommendations..

Why join Cotiviti as a Auditor (Retail) - Bilingual English / Spanish?

Cotiviti is a leading IT Services and IT Consulting company.

Is the Auditor (Retail) - Bilingual English / Spanish position at Cotiviti remote?

The Auditor (Retail) - Bilingual English / Spanish position at Cotiviti is based in Ciudad de México, Mexico. Contact the company through Clera for specific work arrangement details.

How do I apply for the Auditor (Retail) - Bilingual English / Spanish position at Cotiviti?

You can apply for the Auditor (Retail) - Bilingual English / Spanish position at Cotiviti directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process. You can also learn more about Cotiviti on their website.