Revenue Cycle Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $20 - $23 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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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

• Reconcile and post all payments received • Identify discrepancies and analyze issues to ensure timely payment posting • Manage inventory and system alignment between Cotiviti and clients • Reconcile data between different sources • Post payments to collection accounts and reconcile them with posted bank transactions • Coordinate 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 interpret online systems to determine claim payments 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 • Review and correct discrepancies in daily deposit totals • Balance and reconcile bank deposits and communicate with internal and external customers • Research and accurately distribute payments lacking invoice numbers or dates of service • Identify the correct claim for payments using patient and date-of-service information • Maintain knowledge of compliance and recovery laws regarding processing and recoupment • Work with cross-functional teams

🎯 Requirements

• Bachelor's degree in Finance, Accounting, or Business, or three (3) years of Accounting/Finance experience • Knowledge of healthcare claims strongly preferred • 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 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 that may include the wrists, hands, and/or fingers

🏖️ Benefits

• Discretionary bonus consideration • Medical, dental, vision, disability, and life insurance coverage • 401(k) savings plan • 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 • Overtime pay for nonexempt employees for hours worked over 40 per week, or as required by state law • Dedicated, secure work area, high-speed internet access/connectivity, and office setup and maintenance required for remote work

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