Audit Support Assistant

** VOICE PROCESS**

Principal Responsibilities and Essential Duties:

• Calling Multiple payers to capture the required information.
• 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 clear 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
• Customer Driven
• Collaborative
• Accountable
• Open

Required

Requirements:

• At least 2-3 years of relevant experience (auditing, claims, billing, reimbursement, data analysis)
• Bachelors degree required.
• Computer proficiency in Microsoft Office (Word, Excel, Outlook); Access preferred
• Strong interest in working with large data sets and various databases
• Healthcare industry experience desired
• Excellent verbal and written communication skills
• Self-motivated and driven to succeed
• Good Communication skills
• Must be ready to work night shifts
• Should be ready to work on multiple projects simultaneously

Cognitive / Mental Requirements:

• Problem-solving and thinking critically.
• Completing tasks independently.
• Interpreting data.
• Making timely decisions in the context of a workflow.
• Maintaining focus.
• Assessing the accuracy, neatness and thoroughness of the work assigned.
• Learning new tasks and completing tasks in situations that have a speed or productivity quota.
• Remembering and adhering to processes and protocols.
• Applying established protocols in a timely manner.

Physical Requirements and Working Conditions:

• 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.
• Should be responsible in ensuring that data security is maintained at all times.