Cotiviti · 1 day ago
Provider Relations Representative I
United States
Full-time
Remote
Entry Level
$17.50/hr - $19.50/hr
2+ years exp
Maximize your interview chancesInformation Technology & Services
Insider Connection @Cotiviti
Get 3x more responses when you reach out via email instead of LinkedIn.
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
Qualification
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
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
2+ years previous experience in a claims customer service environment OR 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
Communicating with others to exchange information
Assessing the accuracy, neatness, and thoroughness of the work assigned
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
Benefits
Medical
Dental
Vision
Disability
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
Company
Cotiviti
Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the quality and sustainability of how healthcare is delivered in the United States.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Adam Gilbert
Director, Interoperability Operations and Partnerships
Chris McIntyre
Sr. Program Manager, RQNC Operations
Recent News
2024-04-07
Company data provided by crunchbase
