We got a new job opening detail
company name Cotiviti India
location : Pune, Maharashtra
description : JOB RESPONSIBILITIES
Effectively utilizes Audit Tools
Utilizes with increasing proficiency, proprietary reports, tools and systems required to perform duties with moderate guidance and direction, timely executes assigned standard reports and updates. Working proficiency with all systems and applications including internal and client tools.
Demonstrates adeptness in identifying errors and exceptions that result in valid claims. Has an eye for irregularities. Ability to analyze data, identify inconsistencies and formulate workable solutions. Makes logical, well-reasoned and timely decisions.
Shows initiative and a willingness to engage in all areas of the audit. Reaches beyond current tasks to add value to audit team. Goes the extra step to solve problems instead of waiting for someone else to solve them. Successfully integrates and multi-tasks new assignments
Demonstrates competency with tools of the job including but not limited to computers, word processing & spreadsheet applications, web systems, Cotiviti and Client systems, and data file structures. Can efficiently download and format common file types.
Treats customers/clients both internal and external as number one priority, is committed to continuous quality improvement, is courteous and responsive to customer’s needs, meets or exceeds all customer commitments and treats customers honestly.
Delivers results consistently with high level of integrity. Meets or exceed goals at expected levels of quality and productivity. Demonstrates willingness and readiness to take on more responsibility in support of the audit.
Ensures timely completion of audit reports. Exhibit’s an understanding of audit planning activities and uses a structured and dependable approach to accomplishing assigned work.
Identify opportunities to improve the efficiency of standard report to reduce false positives, streamline the research process and strive to increase the outcome. Offer suggestions and recommendations for process improvement and efficiencies.
ATTRIBUTES AND BEHAVIORS
Develops and maintains positive working relationships with others.
Shares ideas and information.
Assists colleagues unprompted.
Takes pride in the achievement of team objectives.
Has credibility with peers and managers.
Self-motivated – driven to achieve results.
Works with a sense of urgency.
High customer service ethic – is passionate about meeting customer expectations and improving service levels.
Keeps pace with change – acquires knowledge/skills as the business evolves.
Handles confidential information with sensitivity.
RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS
At least one (1) year of relevant experience (auditing, claims, billing, reimbursement, data analysis)
Bachelor’s degree Mandatory.
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
SKILLS & COMPETENCIES
A solid understanding of data crunching, excel, client management acquired through prior work experience.
Strong analytical, critical thinking and problem solving skills.
Excellent verbal and written communication skills.
Excel proficiency, Access proficiency will be an added advantage.
Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads.
Ability to work well independently and maintain focus on a topic for prolonged periods of time.
Comfort in working with team members that are remote and located in the US, India or other geographies.
Occasional requirement to travel (primarily related to training and Company meetings) within India/US.
Flexibility to travel outside of the India based on business need preferred.
Ability to work seated at a computer for long periods of time.
Candidate should be ready to work in different shifts, including night shift.
Works with all Cotiviti business teams