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