Payment Insight Analyst I

Cotiviti

Payment Insight Analyst reviewing and repricing healthcare claims for Cotiviti’s payment accuracy business. Applying contracts, client requirements, and SOPs to deliver accurate, compliant claim payments.

Posted 8/7/2026full-timeRemote • 🇺🇸 United StatesJunior💰 $19 - $23 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare claims processing, including eligibility determination, claim repricing, and compliance with HIPAA regulations. Proficient in data analysis and documentation, with strong attention to detail and effective communication skills.

Highest-signal resume keywords

Healthcare Claims ProcessingClaim RepricingData AnalysisHIPAA ComplianceAttention to Detail

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claim Documentation AnalysisEligibility DeterminationRepricing MethodologiesContract InterpretationQuality Standards AdherenceData EntryAdministrative TasksProcess ImprovementSOP ComplianceOperational Reporting

Soft Skills

Analytical AbilitiesProblem-SolvingEffective CommunicationOrganizational SkillsTime Management

Tools & Technologies

Microsoft ExcelMicrosoft WordMicrosoft OutlookComputer Systems

Industry Keywords

Healthcare AdministrationInsuranceClaims ProcessingConfidentialityClient Requirements

About the role

Key responsibilities & impact

Review internal and client systems to determine eligibility and payment methodologies for healthcare claims
Analyze claim documentation and identify accurate repricing approaches based on contractual terms
Interpret and apply client-specific requirements to claim repricing
Ensure claims are repriced according to established guidelines and client expectations
Partner with internal audit teams to support compliance and quality improvement initiatives
Meet or exceed accuracy, timeliness, and productivity performance metrics
Follow defined workflows and Standard Operating Procedure (SOP) documents
Maintain detailed documentation of repricing activities and outcomes
Identify claim discrepancies or potential issues and escalate them according to company protocols
Communicate with team members and other departments to resolve claim-related questions
Participate in training and stay updated on policies, procedures, and client requirements
Support process improvements to improve claim repricing accuracy and efficiency
Maintain confidentiality of client and patient information in compliance with company policies and HIPAA regulations
Assist with operational reports and data as requested by management
Complete special projects and other assigned duties

Requirements

What you’ll need

Minimum one year of professional experience
High school diploma or GED required
Associate’s or Bachelor’s degree in Business, Healthcare Administration, Finance, or a related field preferred
Relevant coursework or training in healthcare claims, insurance, or data analysis is a plus
Equivalent combination of education and experience may be considered
Minimum one year of experience in a healthcare, insurance, or claims processing environment preferred
Experience with data entry, documentation, or administrative tasks
Experience adhering to quality standards and compliance processes is a plus
Strong attention to detail and accuracy in reviewing and processing data
Excellent analytical and problem-solving abilities
Ability to interpret contracts, guidelines, and client requirements
Proficiency with computer systems and basic office software, including Microsoft Excel, Word, and Outlook
Effective written and verbal communication skills
Ability to follow established workflows and SOPs
Strong organizational and time management skills
Ability to work independently and as part of a team
Willingness to learn and adapt to new processes and systems
Professionalism and commitment to confidentiality and HIPAA compliance
Ability to provide high-speed internet access/connectivity and maintain an office setup
Ability to provide a dedicated, secure work area
Must be able to perform duties with or without reasonable accommodation

Benefits

Comp & perks

Medical insurance coverage
Dental insurance coverage
Vision insurance coverage
Disability insurance coverage
Life insurance coverage
401(k) savings plans
Paid family leave
9 paid holidays per year
17–27 days of Paid Time Off (PTO) per year, depending on specific level and length of service
Remote work arrangement
Overtime pay for nonexempt employees working more than 40 hours per week, or as required by applicable state law