Cotiviti Looking for CB Client Account Specialist at South Jordan, UT  Full Time

The Client Account Specialist position is part of our Credit Balance team responsible for managing insurance claims, invoices, and payments to ensure properly coded for services, procedures, diagnoses, and treatments received based on contracting.

Manages insurance claims, invoices, and payments to ensure properly coded for services, procedures, diagnoses, and treatments received based on contracting
• Creates and delivers client specific submission files to initiate invoicing
• Responsible for communication with clients
• Applies developed subject matter knowledge to addresses and resolves common and complex issues within established guidelines
• Researches issues and disparities such as double dips and incorrect refunds
• Mediates between clients and providers
• Generates financial and billing reports according to company guidelines
• Prepares and sends invoices or claims for payment
• Keep updated records of financial transactions and customer account status
• Review billing reports to ensure accuracy and resolve any errors
• Evaluates, interprets, and analyzes client exceptions, contract discrepancies, and resolves void trends
• Documents and maintains updated policies and procedures for client specific processes
• Identifies refund trends that can be applied across contract base to maximize revenue and makes recommendation for data mining projects
• Participates in internal and client meetings to provide project updates and report on specific provider related successes and identify areas of improvement
• Exceeds established production and revenue goals set forth by management

Minimum Education:

• High School Diploma or GED required, Bachelor’s or Associates degree preferred

Minimum Related Work Experience:

• Exhibits behaviors consistent with Cotiviti Values:
• Customer Driven
• Collaborative
• Accountable
• Open
• Excellent written and verbal communication skills, with the ability to multitask and prioritize projects to meet scheduled deadlines.
• Proficient in Microsoft Office Suite, including PowerPoint, Word, Excel, and Outlook
• Healthcare experience preferred