Cotiviti
Overview
Under direction of the Director of Operations, the Client Service Associate (CSA) role ensures the adequate support for the client-facing team on client management activities. The CSA must be familiar with the day-to-day activities of all of the client-facing team: Client Manager (CM), Sr. Client Manager (SCM) and Director of Operations / Client Management.
Responsibilities
- Provides back office support to client-facing team: Utilizing data provided by the team, the CSA formats and prepares presentations. With proficiency, researches client inquiries and follows through to resolution of those inquiries. Client inquiries may include but are not limited to requests for verification of previous letter mailings, requests for duplicate letters, and requests for audit status updates. Prepares and delivers routine correspondence on behalf of the team.
- Coordinates Internal Processes: Coordinates on a weekly basis with internal finance and operations team as it relates to OPV report management.
- Payment Review: Provides follow-up on outstanding overpayments. Acts as central point of contact for provider calls, as needed.
- Completes ARMS requests & document management: Based upon client management feedback, researches issues related to proposed ARMS requests. Submits ARMS requests as appropriate. Resolves outstanding documentation management issues and follows-up as necessary.
- Reporting / Metrics: The CSA maintains focus on specific SLAs; updates scorecard with related metrics. Provides client management team with analytics and ad hoc reports as needed.
- Meetings: The CSA schedules and coordinates client meetings. Prepares and distributes agenda to scheduled attendees. Prepares meeting notes for clients; Documents any resulting action items and ensures communication to stake holders.
- Internal Communication: Schedules and coordinates meetings with internal stake holders and team members to address issues and ensure clear communication within the team.
- Miscellaneous: Other duties as assigned or as business needs may require.
Qualifications
Education, Experience, Abilities
Degree Program of Study Required/Preferred
- Associate’s Degree required
- Bachelor’s Degree in related field preferred
Skills and Experience
- Computer proficiency in Microsoft Excel and PowerPoint required; Familiarity with Access and system databases preferred.
- Minimum of 1 year of related experience in healthcare or related, client-focused field.
- Knowledge of medical reimbursement methodologies, billing guidelines, or healthcare coding is required.
- Excellent verbal and written communication skills.
- Strong analytical and investigative skills.
- Ability to work with minimal direct supervision, as part of a client-facing team.
Cotiviti is an equal employment opportunity employer. Cotiviti recruits, hires and promotes individuals based on their qualifications for a specific job. Cotiviti values its diverse workforce and its selection of employees is made without regard to race, color, creed, sex, age, religion, pregnancy, childbirth or pregnancy-related conditions, national origin, sexual orientation, marital status, genetic carrier status, military service, veteran status, disability, or any other category of class protected by federal, state or local laws. All employment decisions and personnel actions, such as hiring, promotion, compensation, benefits, and termination, are and will continue to be administered in accordance with, and to further the principle of, equal employment opportunity.
Pay Transparency Nondiscrimination Provision
Cotiviti will not discharge or in any manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-I.35(c)