Client Service Associate Job Locations
US-Remote ID
2024-12634
Category Client Services
Position Type Full-Time Overview
The Client Service Associate's (CSA) role is to ensure adequate support for the client-facing team on coding and policy-related activities. The CSA must be familiar with the day-to-day activities of the Client Policy Manager (CPM), Client Service Manager (CSM), and client-facing Medical Directors.
Responsibilities
Creates and captures decisions when appropriate CDM Presentations (New Policy Presentations, Periodic Updates, and Prior Approvals) * Creates and closes Project Requests as defined by CPM/CSM * Conducts initial CCI deviations table review (post-implementation) * Assist CPM in research and analysis to produce comparison reports for Outpatient Hospital, Professional, and DME Max Unit Tables to CPM as requested by the client team * Reviews, analyzes, and responds to Research Request(s) by defined desired completion date or communicates when desired completion date needs to be adjusted due to complexity * Supports Client Policy Manager through the various aspect of the Periodic Update, Prior Approval, and New Policy Processes * Communicates effectively with various members of the Client Team(s) * Performs multi-faceted analytics in data and report analysis * Running of Release Validation Reports and completing the review of the data (twice per release cycle) * Running Max Units Reports, completing the review of the data, and making recommendations for changes/updates * Review of Pre and Post Release Testing Reports * Generate, modify and format BO/Webi Reports for adhoc purposes and provides analysis. * Ability to validate the Release Validation Report (RVR) report post-release. * Manual JIRA creation and client response * Client Inquiry Log entries and reporting * Ability to research and examine client questions to draft an accurate response * Actively participate in team meetings and other relevant meetings Other Related Responsibilities * Other duties as assigned
Qualifications
Effective problem-solving skills
Prior experience in developing medical payment policy edits
Professional with the ability to properly handle confidential information
Ability to work well independently and in a team environment
Ability to handle multiple tasks, prioritize and meet deadlines
Excellent written and verbal communication skills
Attention to detail and accuracy
Organizational skills
Works with a sense of urgency
Ability to follow defined policies and procedures
Strong analytical and problem-solving ability
Strong interpersonal skills
US Healthcare industry and claims analysis experience
Desire and capacity to learn new concepts and software
Ability to work within a matrix organization
Exhibits behaviors consistent with Cotiviti Values
Customer Driven
Accountable
Open
Collaborative MINIMUM QUALIFICATIONS:
High School Diploma or GED required, Bachelor's degree preferred
Prefer experience with Medical Coding and Terminology and/or clinical exposure, (CPC, CCS, or RHIA certification)
Excellent analytical skills with the ability to troubleshoot problems and find root causes
Proficiency required in Business Objects (or similar business intelligence software), and relational databases
Advanced knowledge of Excel (pivot tables, complex formulas, VLOOKUPs, statistical functions)
Ability to learn and quickly absorb new material
Ability to adapt to changing situations with ease
Team player with a strong desire to assist and share knowledge * Flexible schedule to work evenings and weekends, as needed JOB DEMANDS:
Must be able to sit and use a computer keyboard. For full info follow application link.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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