https://careers-cotiviti.icims.com/jobs/21592/job
Full-time, remote clerical position at a healthcare infrastructure/patient services company.
Pay: $20.50 to $23.75/hr
Benefits: Medical, Dental, Vision, Disability, Life insurance; 401(k); paid family leave; 9 paid holidays per yr; 17-27 days of PTO per yr
Duties
Use Centers for Medicare and Medicaid Services (CMS) and National Association of Insurance Commissioners (NAIC) guidelines to accurately determine liability order; Use audit tools to conduct thorough member investigations; Create detail-oriented, accurate notes throughout the member investigation; Review concept and claim identifications for the client; Prepare and evaluate responses to client disputes; Identify and solve problems by classifying errors and overpayments for our healthcare clients; Identify opportunities for improvement in reporting and streamlining research processes; Assure confidentiality and security of all data, including HIPAA compliance
Physical Demands & 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 own high-speed internet access/connectivity and office setup/maintenance
Qualifications
Education & Related Work Experience: High School Diploma (Required);
Bachelor’s degree (Preferred); AND/OR a minimum of one (1) year of related experience in healthcare; Healthcare industry experience, including knowledge of Coordination of Benefits (Preferred)
License or Certification: None
Other Qualifications/Requirements: Basic understanding of the healthcare industry; Proven track record of delivering results; Ability to analyze large volumes of data, identify trends, discrepancies, and anomalies; Attention to detail; Strong critical thinking skills; Ability to assess complex situations, identify key issues, and propose practical solutions; Able to approach challenges methodically and strategically; Able to make informed decisions based on available data, regulations, and standards; Able to weigh options and make organized, compliant recommendations; Understanding of auditing standards, regulations, and industry best practices; Ability to recognize when something is wrong or needs further investigation; Initiative to probe deeper to uncover issues