Revenue Cycle Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $20 - $23 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Cotiviti

WebsiteLinkedInAll Job Openings

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

• Reconcile and post all payments received • Identify discrepancies and analyze issues to ensure timely payment posting • Manage inventory and system alignment between Cotiviti and its clients • Reconcile data between different sources • Post payments to collection accounts and reconcile them with posted bank transactions • Work with the AP department to issue 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 • Access and understand online systems to determine how claims were paid and accurately apply payments and adjustments • Assist in determining the adjudication of refunds • Prepare and record financial transactions for assigned accounts • Ensure daily deposit reconciliation and maintain daily and monthly audit reporting • Reconcile daily deposit totals, review and correct discrepancies • Balance and reconcile bank deposits and communicate with internal and external customers • Research and distribute payments without apparent invoice numbers or dates of service • Determine the correct claim for payments using valid patient and date-of-service information • Maintain knowledge of compliance and recovery laws regarding processing and recoupment to ensure compliance with state laws

🎯 Requirements

• Bachelor's degree in Finance, Accounting, or Business, or three (3) years of Accounting/Finance experience required • Knowledge of healthcare claims strongly preferred • Computer proficiency in Microsoft Office applications and system databases required • 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 individually 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 • Must be able to remain in a stationary position, often standing or sitting for prolonged periods • Must be able to perform repetitive motions involving the wrists, hands, and/or fingers

🏖️ Benefits

• Discretionary bonus consideration • 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 specific level and length of service • Overtime pay for nonexempt employees for hours worked in excess of 40 hours per week, or as required by applicable state law • Dedicated, secure work area • High-speed internet access/connectivity and office setup and maintenance