Revenue Cycle Specialist

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $21 - $25 / hour

⏰ Full Time

🟢 Junior

🦅 H1B Visa Sponsor

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Logo of Cotiviti

Cotiviti

5001 - 10000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.

📋 Description

• Perform moderate to complex recurring and/or daily Revenue Cycle functions and processes • Reconcile and post all payments received and identify discrepancies • Analyze payment issues to ensure timely posting • Process invoices and manage large sets of inventories • Process electronic requests in multiple systems and platforms • Complete and/or monitor organizational processes accurately, on time, and in compliance with policies and regulations • Track processes and prepare management reports on departmental quality and actions • Implement procedural changes to improve performance and efficiency • Resolve minor errors and handle limited-risk or limited-complexity exceptions • Assist with onboarding and new-hire training; mentor Specialists as a buddy • Collaborate with Specialists and Seniors to share knowledge, tools, and work-execution tips • Post payments to recovery accounts and reconcile them with bank transactions • Coordinate with Accounts Payable for refunds when needed • Reconcile monthly bank statements with the cash-posting database • Post adjustment transactions to collection and client systems • Perform cash application functions according to corporate and client requirements • Review online systems to determine claim payments and accurately apply payments and adjustments • Assist in determining refund adjudication • Prepare and record financial transactions for assigned accounts • Ensure daily deposit reconciliation and maintain daily/monthly audit reporting • Research and distribute payments lacking invoice numbers or dates of service • Identify the correct claim for payments and apply them accurately • Maintain compliance with recovery laws and state cash-processing requirements • Meet departmental productivity and quality goals and report system, productivity, or quality issues to management • Gather data, analyze problems, evaluate options, and implement solutions • Support audit activities and take on additional responsibility • Assess client, customer, and partner needs; provide assistance and resolve problems

🎯 Requirements

• 1–3 years of related experience and/or Associate or bachelor’s degree preferred • Bachelor’s degree in a Business-related field OR 3+ years of Accounting/Finance-related experience • Computer proficiency in Microsoft Office applications and system databases • Excellent organizational ability to handle multiple priorities • Strong attention to detail and accuracy • Working knowledge of applicable industry-based standards • Excellent verbal and written communication skills • Ability to work well independently and in a team environment • Ability to provide a dedicated, secure work area • Ability to provide high-speed internet access/connectivity and office setup and maintenance

🏖️ Benefits

• Discretionary bonus consideration • Overtime pay for hours worked in excess of 40 hours per week, or as required by applicable state law • Medical insurance coverage • Dental insurance coverage • Vision insurance coverage • Disability insurance coverage • 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 level and length of service

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