Senior Revenue Cycle Specialist

🕒 July 11

🇺🇸 United States – Remote

💵 $23 - $24 / hour

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

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👻 Ghost score 21%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Serve as a subject matter expert on Revenue Cycle knowledge • Collaborate with the Team Lead to develop and oversee new-hire onboarding materials • Train Specialists and Specialist 2s and mentor team members • Complete or monitor organizational functions and processes accurately, on time, and in compliance with policies and regulations • Track processes and prepare management reports on departmental quality and actions • Analyze, identify, and implement procedural changes to improve performance, efficiency, revenue, and margins • Resolve errors and exceptions of limited risk and complexity • Identify revenue cycle improvement opportunities and develop implementation plans with the manager • Serve as a key contact for departments, clients, and auditors • Research and resolve outstanding claims and client/audit issues • Post payments and adjustment transactions to collection and client systems • Reconcile posted bank transactions, monthly bank statements, cash-posting databases, and daily deposits • Research and accurately distribute payments lacking invoice numbers or dates of service • Prepare and record financial transactions and maintain daily and monthly audit reporting • Maintain knowledge of compliance and recovery laws governing cash processing and recoupment • Maintain departmental productivity, quality, and process standards • Gather data, analyze problems, evaluate options, and implement solutions • Support audit operations and broader team activities • Work with clients, customers, and partners to assess needs, provide assistance, and resolve problems

🎯 Requirements

• 2–4 years of related experience and/or Associate or bachelor’s degree preferred • Bachelor’s degree in Accounting, Finance, or Business or five years of relevant experience preferred • Minimum of two years of financial and/or business-related experience • Proficiency in MS Excel required; Access strongly preferred • Knowledge of revenue cycle practices • Healthcare experience a plus • Ability to work both in a team and independently • Excellent organizational ability to handle multiple priorities • Ability to provide a dedicated, secure work area • Ability to provide high-speed internet access/connectivity and office setup and maintenance • Understanding of Cotiviti policies and procedures and external regulatory requirements • Compliance with HIPAA laws and requirements • Competency with computers, word processing and spreadsheet applications, web systems, Cotiviti and client systems, data file structures, and PowerPoint • Ability to download and format common file types • Ability to plan, organize, prioritize multiple tasks, and ensure timely completion

🏖️ 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 applicable state law • Dedicated, secure work area and high-speed internet access/office setup required for remote work