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Enabling a high-quality and viable healthcare system
Provider Relations Representative I
Location
United States
Posted
39 days ago
Salary
$18 - $20 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Provider Relations Representative I
Cotiviti
Role Description - 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 inquiries (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. Qualifications - 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. Requirements - Mental Requirements: - Communicating with others to exchange information. - Assessing the accuracy, neatness, and thoroughness of the work assigned. - Physical Requirements and Working Conditions: - 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 are expected. Benefits - Base compensation ranges from $17.50 to $19.50 per hour. - 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. - Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law. - Cotiviti offers a competitive benefits package including: - Medical, dental, vision, disability, and 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 with Cotiviti.
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