Overview

Provider Relations Rep initiates phone calls to customers, (providers/pharmacies/patients/carriers etc.) to confirm receipt of mailings, and to request action.

**Wage is $17.50/HR**

Responsibilities

• Initiates phone calls to customers, (providers/pharmacies/patients/carriers etc.) to confirm receipt of mailings, and to request action.
• Provides timely response and resolution for all provider initiated inquires (phone calls, emails or faxes).
• Reviews and analyzes documentation and claim data to determine validity and proper action.
• Updates accounts receivable system with denial and group information.
• Assists with high priority special projects
• Performs other functions as assigned

Qualifications

• High school diploma, GED, or equivalent work experience
• 2+ years' experience as an examiner/processor with exposure to medical terminology and claim processing experience in Commercial Insurance or Government Programs required o 2+ years previous experience in a claims customer service environment OR o 2+ years of answering inbound calls regarding claims processing
• Ability to work proficiently with Microsoft Word.
• Ability to multi-task and prioritize.
• Ability to be careful and thorough about detail.
• Ability to organize well.
• Primarily sedentary work remotely
• Ability to communicate and exchange information
• Ability to comprehend and interpret documents and data

Base compensation ranges from $17.50 to $18.00. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

Since this job will be based remotely, all interviews will be conducted virtually.

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