Operations Administrator

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $19 - $26 / hour

⏰ Full Time

🟢 Junior

⚙️ Operations

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Cotiviti

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.

📋 Description

• Provide daily support across CCV Business Unit teams, including audit and client support • Ensure processes are followed, metrics are met or exceeded, and documentation is created and maintained • Flex across various teams throughout the day using Cotiviti proprietary tools • Access client data systems to validate claim information • Maintain focus on tasks to ensure client SLAs are met • Provide analytics and ad hoc reporting to the CCV management team • Format and prepare reports using team-provided data • Research client inquiries and follow through to resolution • Verify regulatory notices to providers and federal facilities, previous letter mailings, and duplicate-letter requests • Communicate across business lines regarding open inventory report management • Ensure accuracy of documentation required for the audit team • Research proposed service ticket requests and submit tickets as appropriate • Resolve and follow up on documentation management issues • Schedule and coordinate CCV Business Unit meetings • Complete annual Performance Plan responsibilities, special projects, and other assigned duties

🎯 Requirements

• High School Diploma or GED required • Some college preferred • Minimum one year directly related to healthcare • Previous health care claim review experience preferred • Intermediate Excel and Microsoft Office Suite skills required • Strict attention to detail in actions and documentation • Critical thinking skills • Ability to multitask, shift across clients, prioritize, and meet deadlines • Strong organizational skills and thorough documentation of results • Strong written and verbal communication skills • Professional demeanor and appropriate communication style • Active listening skills • Ability to maintain strict confidentiality involving sensitive information and algorithms • Ability to work independently and in a team environment • Ability to sit and use a computer keyboard for extended periods • Ability to perform repeating motions involving 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 • Must be able to perform duties with or without reasonable accommodation

🏖️ Benefits

• Medical insurance coverage • Dental insurance coverage • Vision insurance coverage • Disability insurance coverage • Life insurance coverage • 401(K) savings plan • Paid family leave • 9 paid holidays per year • 17-27 days of Paid Time Off (PTO) per year, depending on level and length of service • Overtime pay for nonexempt employees for hours worked in excess of 40 hours per week, or as required by applicable state law • Remote work arrangement • Dedicated, secure work area and high-speed internet access/connectivity provided by the employee