Senior Revenue Cycle Specialist

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $23 - $24 / hour

⏰ Full Time

🟠 Senior

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Cotiviti

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

💳 Fintech

🤖 Artificial Intelligence

Healthcare Insurance • Fintech • Artificial Intelligence

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

• A Senior Specialist is identified as a subject matter expert on all knowledge within the Revenue Cycle space • Collaborate with the Team Lead to develop and oversee new hire onboarding materials, ensuring the effective training of Specialists and Specialist 2’s • Completes or monitors organizational functions or processes, ensuring that they are completed accurately, on time, and in compliance with established policies and regulations • Tracks processes, preparing reports for management detailing quality or quality of departmental actions • Analyzes, identifies, and implements procedural change opportunities to improve performance and efficiency, and maximize revenue or margins • Ability to resolve errors and handles exceptions of limited risk and complexity • Identifies opportunities to improve revenue cycle processes and proposes solutions to capitalize on opportunities • Works with manager to establish an implementation plan and can work independently or with support of Specialists to implement plan • Thinks critically through implementation of plans to identify gaps and make necessary adjustments • Serves as a key point of contact for other departments on the audit and the client • Resolves client and audit issues to completion with attention to detail and the highest level of professionalism • Conducts research and resolution on outstanding claims • Posts adjustment transactions to collection system as well as client’s system • Posts payments to collection accounts, reconciles with posted bank transactions, works with AP department to have refund issued when needed, reconciles monthly bank statements with cash posting database • Access and understand necessary information from the various online systems, understanding the systems process in determining how a claim has been paid to accurately apply payments and adjustments and assists in determining the adjudication of funds • Prepares and records financial transactions for assigned accounts to accumulate and record accurate and timely financial history • Ensures monthly reporting for audit purposes

🎯 Requirements

• 2 -4 years of related experience and/or Associate or bachelor’s degree preferred • Bachelor's Degree in Accounting/Finance/Business or five (5) years relevant experience preferred • Minimum of two years of financial and/or business-related experience • Proficiency in MS Excel required; Access strongly preferred • Ability to work both in a team and independently • Knowledge of revenue cycle practices • Healthcare experience a plus • Excellent organizational ability required to handle multiple priorities

🏖️ Benefits

• Medical, dental, vision, disability, and 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 with Cotiviti