CSR at

Cotiviti India

Full time
Posted on : March 19, 2022

Minimum Work Experience

1 year

Salary Range

Skills Required

Verbal Communication Skills, Written Communication Skills, Typing

Job Description

Extra skills required:

Demonstrates knowledge in MS Office and should have a background in Health Insurance. Typing speed 20 words per minute with 95% accuracy.
Good verbal and written communication skills.
Excel proficiency.
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.
Proficiency of MS Office (Word, Excel) required.
Comfort in working with team members that are remote and located in the US, India or other geographies.
Ability to work within a matrix organization.
Must be detail-oriented and flexible to work in a fast-paced, dynamic environment.

Assess authorization request forms for member eligibility and provider participation in eviCore network. Analyze benefits to ensure coverage of the requested procedure.
Approve the procedure or refer to RN’s & send complex scenarios back to client for advice.
Process Auth requests within TAT benchmark of receipt so as to make the prior authorization process efficient and avoid redundancies such as calls from facilities to check status of their request.
Ensuring to meet Quality standards (Meeting client set benchmarks).
Record transactions for production reporting.

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About Cotiviti India

Cotiviti focuses on improving the financial and quality performance of our clients. In healthcare, this means taking in billions of clinical and financial data points, analyzing them, and then helping our clients discover ways they can improve efficiency and quality. In addition, Cotiviti supports the retail industry with audit and recovery services in order to increase efficiency and maximize profitability.

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