[Hiring] Revenue Cycle Specialist @Cotiviti

Role Description

We are looking for a Revenue Cycle Specialist to join our Yield Management team! This role is responsible for the reconciliation and posting of all payments received, identify discrepancies and analyze issues to ensure all payments are posted timely. Other responsibilities include managing inventory and system alignment between Cotiviti and our clients, reconciling data between different sources, research, and the ability to work with cross-functional teams.

• Payment Postings and Reconciliations:
  • Post payments to collection accounts.
  • Reconcile with posted bank transactions.
  • Work with AP department to have refunds issued when needed.
  • Reconcile monthly bank statements with cash posting database.
  • Post adjustment transactions to collection system as well as client's system.
• Cash Application:
  • Perform cash application functions and processes relevant to the Corporate and client requirements in a manner that meets or exceeds key performance criteria.
• Systems Capability:
  • Access and understand necessary information of the various online systems.
  • Understand the systems process in determining how a claim has been paid in order to accurately apply payments and adjustments.
  • Assist in determining the adjudication of a refund.
• Account Reconciliation:
  • Prepare and record financial transactions for assigned accounts to accumulate and record accurate and timely financial history.
  • Ensure daily deposit reconciliation; maintain daily, monthly reporting for audit purposes.
  • Reconcile daily deposit totals, review and correct discrepancies.
  • Responsible for cash balancing and reconciliation of bank deposits and communication between internal and external customers.
• Research and Resolution:
  • Research and accurately distribute payments with no apparent invoice number or date-of-service.
  • Research and determine the correct claim for the payment if there is a valid patient/date of services and accurately apply payment to correct claim.
• Ensures Compliance:
  • Maintain thorough and detailed knowledge of compliance and recovery laws regarding processing and recoupment.
  • Ensure compliance with state laws regarding all cash processes as evident through the collection cycle.

Qualifications

• Bachelors degree in Finance, Accounting or Business or three (3) years of Accounting/Finance experience required.
• Knowledge of healthcare claims is strongly preferred.
• Computer proficiency in Microsoft Office applications, system databases are required.
• Excellent organizational ability required to handle multiple priorities.
• Strong attention to detail and accuracy.
• Requires working knowledge of and applicable industry-based standards.
• Excellent verbal and written communication skills.
• Ability to work well in an individual and team environment.

Requirements

• Mental Requirements:
  • Communicating with others to exchange information.
  • Assessing the accuracy, neatness, and thoroughness of the work assigned.
• Physical Requirements and Working Conditions:
  • Remaining in a stationary position, often standing or sitting for prolonged periods.
  • Repeating motions that may include the wrists, hands, and/or fingers.
  • Must be able to provide a dedicated, secure work area.
  • Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
  • No adverse environmental conditions are expected.

Benefits

• Base compensation ranges from $20.00 to $23.50 per hour.
• Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.
• This role is eligible for discretionary bonus consideration.
• Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.
• Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including:
  • 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.
• For information about our benefits package, please refer to our Careers page.