Overview:
Responsibilities:
Cotiviti, Inc. (formerly Verscend Technologies) drives better healthcare outcomes through data analytics. This means taking in billions of clinical and financial data points, analyzing them, and then helping our clients discover ways they can improve efficiency and quality.
Learn more at www.Cotiviti.com.
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**Wage is $17.50/HR**Responsibilities:
- Initiates phone calls to customers, (providers/pharmacies/patients/carriers etc.) to confirm receipt of mailings, and to request action.
- Provides timely response and resolution for all provider initiated inquires (phone calls, emails or faxes).
- Reviews and analyzes documentation and claim data to determine validity and proper action.
- Updates accounts receivable system with denial and group information.
- Assists with high priority special projects
- Performs other functions as assigned
- High school diploma, GED, or equivalent work experience
- 2+ years’ experience as an examiner/processor with exposure to medical terminology and claim processing experience in Commercial Insurance or Government Programs required o 2+ years previous experience in a claims customer service environment OR o 2+ years of answering inbound calls regarding claims processing
- Ability to work proficiently with Microsoft Word.
- Ability to multi-task and prioritize.
- Ability to be careful and thorough about detail.
- Ability to organize well.
- Primarily sedentary work remotely
- Ability to communicate and exchange information
- Ability to comprehend and interpret documents and data
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