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About the role
Key responsibilities & impact- Develop, foster, and maintain relationships with customer accounts.
- Liaison between company and client or prospect.
- Serves as the client’s advocate, monitoring and supporting all activity and managing problem resolution.
- Responsible for managing, tracking, and closing all client issues.
- Ensure effective communication with clients regarding new edits and system issues and upgrades.
- Review client data to manage and monitor edit savings and identify potential problems.
- Enter and maintain assigned customer records in the Customer Relationship Management (CRM) database as required.
- Travel to clients and prospective clients to strategically manage client relationships.
Requirements
What you’ll need- B.S. or M.B.A. in Business Administration or a related degree is required.
- Strong working knowledge of health insurance industry business operations is required.
- 10-15 years of experience in the healthcare industry with strong presentation skills.
- Customer (internal/external) problem diagnostics and solution design.
- Tactical scheduling, strong contract knowledge, and HIPAA compliance related to the company’s Business Associate classification.
- Excellent communicator and leader who is results-oriented and diplomatically assertive.
- Ability to synthesize and utilize data, mentor staff, and be a successful team builder.
- Establish professional relationships at all levels of key client organizations, including C-level executives, vice presidents, and department managers.
- Demonstrable knowledge of healthcare claims payment policy and processing, claims editing, and fraud detection.
- General understanding of database structures, database management, and data manipulation.
Benefits
Comp & perks- medical, dental, vision, disability, and life insurance coverage
- 401(k) savings plans
- paid family leave
- 9 paid holidays per year
- 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
customer relationship managementdata manipulationdatabase managementhealthcare claims payment policyclaims editingfraud detectionproblem diagnosticssolution designcontract knowledgeHIPAA compliance
Soft Skills
communicationleadershipresults-orienteddiplomatically assertivementoringteam buildingrelationship managementpresentation skillssynthesis of datatactical scheduling
