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Job Details

Requisition Number 17-1399
Title Sr. Audit Support Assistant
City Conshohocken
State PA
Description

We are looking for a full-time Sr. Audit Support Assistant to be based out of our Conshohocken, Pennsylvania office.  In this role, the Sr. Audit Support Assistants are directly responsible for serving as the point of contact for the audit team in facilitating responses to general inquiries and data requests from both internal and external customers.  In a Sr. role you will efficiently and professionally handle more complex, broad daily administrative activities within the audit engagement.  Responsibilities include handling mutliple processes for a department, assisting auditors, collectors, managers, data services, and others to meet and exceed expectations.  This role will support the auditing team in determining value of their findings and may eenage in basic audit activities under the direct supervision of an audit professional. 

What will you do at Cotiviti Healthcare? 

  • Provides Specialized Administrative Support. Performs more focused or complex support and administrative assignments for the audit, including file management, data management, review provider contracts, apply appropriate payment methodology, apply outcome/closure status.
  • Obtains data files and/or generates reports for audits by identifying appropriate file parameters 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.
  • Generates and Analyzes Reports. Generate report to analyze trends in closed claims to provide feedback to the appropriate department.
  • Serves as a point of contact and facilitate responses to general inquiries and data requests from both internal and external customers. As requested or required, communicates directly with the client or providers following established processes and procedures.
  • Proof Claim Information. Provides higher level proofing support on claims submittals to ensure accuracy of totals, verbiage, calculations or other key variables prior to client submission.
  • Meets or Exceeds Standards for Productivity. Maintains productivity goals and standards set by the department. Insures all department rules and processes are followed. Alerts manager of system issues or other issues impacting productivity.
  • Meets or Exceeds Standards for Quality. Achieves the expected level of quality set by the department. Verifies completeness and accuracy of work. Alerts manager of issues or concerns impacting quality of work.
Requirements

What skills should you possess?

  • Bachelors’ Degree in Health Information Management, Health Policy, Mathematics, Statistics and/or related field, strongly preferred.  High School graduate or equivalent education required. 
  • 3 to 5+ years administrative support preferred Medical billing or coding knowledge a plus. Medical billing or coding experience preferred.
  • Previous customer service experience in a call center environment required
  • Strong computer skills – Microsoft Office (Word, Excel, Outlook); Access preferred; other systems database exp. 
  • Excellent verbal and written communication skills
  • Ability to work well in an individual and team environment

Why Cotiviti Healthcare?

We see diversity as an important advantage. We value different viewpoints, backgrounds, levels of experience and skill sets. Our team of talented industry veterans works side-by-side with the best and brightest among recent graduates. When you join our team, you’ll learn from highly qualified professionals – the industry’s sharpest payment accuracy specialists, developing tools, technology and practices that enable us to deliver maximum value for our clients. You’ll also be working with medical and retail experts who have come to us from the industries we serve, contributing their unique industry viewpoints to the work we do. All are colleagues sharing a single focus: delivering results for our clients.

We’re looking for a special kind of person – a thoughtful, career-minded individual ready to join us on our journey. Someone who sees the big picture without losing track of the details. A creative, innovative problem solver with a passion for making a difference.

If this describes you, we invite you to explore the opportunities we have for you.

What’s in it for you?

  • We offer five medical plans to suit your needs, some with tax-advantaged health savings accounts. We also provide dental, vision disability and life insurance coverage at competitive rates.
  • You might not be thinking about retirement yet, but there’s no better time to start saving for it. You can invest in your future and through payroll deductions and we will help with a company match on a portion of your contributions.
  • You know the old saying “all work and no play…” We want you to enjoy some time off, so we start you off with up to 18 paid personal days and 10 paid holidays each year.
  • Great people know great people. If you refer them, we hire them, and if they excel, we pay you a referral bonus. Have a lot of friends? Great. There’s no limit!
  • Paying too much for your cell phone? Buying a car? Our PerkSpot program helps you stretch your paycheck with savings on things you buy every day.
  • Cotiviti is a leader in the payment accuracy solutions for healthcare and retail. Be a part of the team that is building industry-changing solutions to some of today’s most exciting Healthcare & Retail challenges.
  • We offer a variety of internally-developed learning sessions, customized workshops, and robust professional development programs to help you develop new skills and grow your career.

About Cotiviti Healthcare

Cotiviti Healthcare meets the policy, operational and payment accuracy needs of payers across the U.S. healthcare landscape – from leading private insurance plans to the largest government programs. Our experience with this broad payer base gives you access to the latest industry practices, as well as changes in policies and guidelines.

Regardless of the type or size of organization, one thing remains constant. All Cotiviti Healthcare clients experience the same high quality of service and thoughtful approach that make us the payment accuracy partner of choice.

  • We are an Equal Opportunity Employer.
  • Please view Equal Employment Opportunity Posters provided by OFCCP here.

  • Cotiviti is an Equal Opportunity Employer. The Company provides equal employment opportunities to all applicants for employment without regard to gender, sexual orientation or preference, gender identity or expression, race, color, religion, national origin, ethnicity, ancestry, age, marital status, pregnancy, childbirth or related medical conditions, mental or physical disability, veteran status or any other characteristic protected by federal, state or local law, ordinance or regulation.

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