Note: The job is a remote job and is open to candidates in USA. Cotiviti is seeking an Operations Administrator to support its Clinical Operations business unit. The role provides audit and client support, prepares reports, manages service tickets and documentation, coordinates internal processes, and helps ensure service levels, quality standards, and deadlines are met.
Responsibilities
- Reporting / Metrics: The OA maintains focus on specific tasks to ensure client SLAs are met. Provides CCV management team with analytics and ad hoc reporting
- Provides direct support to the CCV Business Unit: Utilizing data provided by the team, the OA formats and prepares specific reports. With proficiency, the OA research’s client inquiries and follows through to resolution of those inquiries. Client inquiries may include but are not limited to requests for verification of regulatory notices to Providers and Federal facilities, previous letter mailings, and requests for duplicate letters
- Coordinates Internal Processes: Communicates across business lines in a highly matrixed organization relative to open inventory report management. Ensures accuracy of necessary documentation required for the audit team
- Enters and maintains Service Ticket requests & document management: Based upon CCV Management feedback, the OA will research issues related to proposed tickets requests. Submits tickets requests as appropriate. Resolves outstanding documentation management issues and follows-up as necessary to ensure completion
- Internal Communication: Schedules and coordinates meetings with the CCV Business Unit team members of all levels to address issues and ensure clear communication within the teams
- Miscellaneous: Other duties as assigned and/or as business needs may require
- Complete all responsibilities as outlined on annual Performance Plan
- Complete all special projects and other duties as assigned
- Must be able to perform duties with or without reasonable accommodation
Skills
- High School Diploma or GED required
- Minimum one year directly related to healthcare
- Intermediate Excel, and Microsoft Office Suite skills are required
- Strict attention to detail in actions and documentation
- Consistent and effective critical thinking skills required
- Must be driven and a self-starter
- Must be flexible and willing to adapt to an ever-changing environment
- Ability to multitask, shift across clients as needed; Highly skilled at handling multiple tasks simultaneously, prioritizing and meeting deadlines
- Works with a sense of urgency
- Strong organizational skills (including a commitment to thorough documentation of results)
- Strong written and verbal communication skills in person as well as with remote and international resources
- Professional demeanor with ability to use appropriate language, tone, style and structure in oral and written communications
- Positive and helpful demeanor in interactions with all internal/external stakeholders
- Active listening skills
- Ability to maintain strict confidentiality in all communications involving sensitive information and algorithms
- Ability to work well independently and in a team environment
- Exhibits behaviors consistent with Cotiviti Values
- Strong written and verbal communication skills in person as well as with remote and international resources
- Professional demeanor with the ability to use appropriate language, tone, style, and structure in oral and written communications
- Highly skilled at handling multiple tasks simultaneously, prioritizing, and meeting deadlines
- Ability to maintain strict confidentiality in all communications involving sensitive information
- Must be able to sit and use a computer keyboard for extended periods of time
- Repeating motions that may include the wrists, hands, and/or fingers
- Must be able to provide high-speed internet access/connectivity and office setup and maintenance
- Must be able to provide a dedicated, secure work area
- Some college preferred
- Previous health care claim review experience preferred
Benefits
- Overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law, for nonexempt employees
- Medical insurance coverage
- Dental insurance coverage
- Vision insurance coverage
- Disability insurance coverage
- 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
- US-Remote work arrangement
Company Overview
Company H1B Sponsorship