Revenue Cycle Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $20 - $23 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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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 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 payment adjudication and accurately apply payments and adjustments • Assist in determining refund adjudication • Prepare and record financial transactions for assigned accounts • Maintain daily and monthly reporting for audit purposes • Reconcile daily deposits, review and correct discrepancies, and balance cash • Communicate regarding bank deposits with internal and external customers • Research and distribute payments lacking invoice numbers or service dates • Research and identify the correct claim for payments and apply them accurately • Maintain knowledge of compliance and recovery laws governing cash processing and recoupment

🎯 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 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 • Ability to remain stationary, often standing or sitting for prolonged periods • Ability to perform repetitive motions involving the wrists, hands, and/or fingers

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Disability insurance • Life insurance • 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 • Discretionary bonus consideration • Overtime pay for nonexempt employees for hours worked over 40 per week, or as required by applicable state law • Remote work arrangement • Dedicated, secure work area • High-speed internet access/connectivity and office setup and maintenance