07 Nov
|
Cotiviti
|
Coimbatore
07 Nov
Cotiviti
Coimbatore
Job Summary:
The Audit Support Assistant I position is an entry level position responsible for accessing client systems and calling multiple payers to capture the required information, validating relevant information. Documents relevant facts, information and conclusions drawn to support the work performed so other reviewers may validate the audit outcome. Communicates audit recommendations and outcomes to supervisory auditors for evaluation, verification and continuous learning.
Principal Responsibilities and Essential Duties:
- Calling Multiple payers to capture the required information.
- Reviewing and capturing information from the client applications.
- Auditing claim forms and EOBs to identify erroneous payments.
- Perform audits based on clients policies and procedures and identify over payments
- Ensures compliance with established internal control procedures by examining operating procedures and related documentations
- Collect accurate information and documents to proceed with a claim
- Make sure the overpayments for claims are accurate and correct by analyzing claims and supporting documentation
- Address assigned inventory to be compliant based on the client requirements.
- Utilization of all possible tools and applications available to take account to the next level of resolution.
- Meet the established SLAs (service level agreements) for production and quality
- Update the outcome of the work or analysis in a explicit documentation.
- Utilize the process SOP and stay updated with changes done with the SOPs
- Improve the performance based on the feedback provided by the reporting manager / quality audit team
- Exhibit behavior consistent with Cotiviti Values
- o Customer Driven
- o Collaborative
- o Accountable
- o Open
This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Required
Requirements:
- Good Communication skills
- Minimum qualification – Graduate
- Must be ready to work in night shifts
- Should be ready to work on multiple projects simultaneously
- US Healthcare experience is preferred (Calling Providers/Payers). However, fresher with Excellent communication skills can be considered as well.
📌 Audit Support Assistant I (Coimbatore)
🏢 Cotiviti
📍 Coimbatore