Revenue Cycle Specialist

Summary

Cotiviti is seeking a Revenue Cycle Specialist to join its Yield Management team. The role focuses on payment posting, cash application, account reconciliation, discrepancy resolution, systems alignment, and compliance with applicable recovery laws.

Responsibilities

• Post 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. Posts adjustment transactions to collection system as well as client's system
• Performs cash application functions and processes relevant to the Corporate and client requirements in a manner that meets or exceeds key performance criteria
• Access and understand necessary information of the various online systems, understanding the systems process in determining how a claim has been paid in order to accurately apply payments and adjustments and assists in determining the adjudication of a refund
• Prepares and records financial transactions for assigned accounts to accumulate and record accurate and timely financial history. Ensures daily deposit reconciliation; maintains daily, monthly reporting for audit purposes. Reconciles daily deposit totals, review and correct discrepancies. Responsible for cash balancing and reconciliation of bank deposits and communication between internal and external customers
• Researches and accurately distributes payments with no apparent invoice number, or date-of-service. Researches and determines the correct claim for the payment if there is a valid patient/date of services and accurately applying payment to correct claim
• Maintains thorough and detailed knowledge of compliance and recovery laws regarding processing and recoupment to ensure compliance with state laws regarding all cash processes as evident through the collection cycle

Skills

• Bachelors degree in Finance, Accounting or Business or three (3) years of Accounting/Finance experience required
• 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
• Communicating with others to exchange information
• Assessing the accuracy, neatness, and thoroughness of the work assigned
• 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
• Knowledge of healthcare claims is strongly preferred

Qualifications

Must Haves

• Bachelors degree in Finance, Accounting or Business or three (3) years of Accounting/Finance experience required
• 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
• Communicating with others to exchange information
• Assessing the accuracy, neatness, and thoroughness of the work assigned
• 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

Nice to Haves

• Knowledge of healthcare claims is strongly preferred

Benefits

• Eligible for discretionary bonus consideration.
• 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.
• 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.
• Remote work arrangement