Revenue Cycle Specialist

Overview

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.

Responsibilities

• Payment Postings and Reconciliations. 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.
• Cash Application. Performs 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, 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.
• Account Reconciliation. 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.
• Research and Resolution. 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.
• Ensures Compliance. 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. 

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.

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.

Base compensation ranges from $18.00 to $21.00 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, and 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.

Date of posting: 3/17/2025Applications are assessed on a rolling basis. We anticipate that the application window will close on 4/17/2025 if a qualified candidate is selected.

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