Revenue Cycle Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Reconcile and record all received payments.

• Identify discrepancies and analyze issues to ensure prompt posting of payments.

• Oversee inventory and system alignment between Cotiviti and its clients.

• Reconcile data across various sources.

• Record payments to collection accounts and reconcile posted bank transactions.

• Collaborate with the AP department to issue refunds as necessary.

• Reconcile monthly bank statements with the cash posting database.

• Post adjustment transactions to both collection and client systems.

• Execute cash application functions in line with corporate and client requirements.

• Access and interpret online systems to ascertain claim payment adjudication, accurately applying payments and adjustments.

• Aid in determining refund adjudication.

• Prepare and document financial transactions for assigned accounts.

• Maintain daily and monthly reporting for audit purposes.

• Reconcile daily deposits, review and rectify discrepancies, and balance cash.

• Communicate regarding bank deposits with both internal and external customers.

• Investigate and distribute payments that lack invoice numbers or service dates.

• Research and identify the correct claims for payments and apply them accurately.

• Stay informed about compliance and recovery laws that govern cash processing and recoupment.

⛳️ Requirements

• Bachelor's degree in Finance, Accounting, or Business, or three (3) years of relevant Accounting/Finance experience required.

• Strong knowledge of healthcare claims is highly preferred.

• Proficiency in Microsoft Office applications and system databases is required.

• Excellent organizational skills to manage multiple priorities effectively.

• Strong attention to detail and accuracy is essential.

• Working knowledge of applicable industry standards.

• Excellent verbal and written communication skills.

• Ability to work effectively both independently and as part of a team.

• Capacity to provide a dedicated, secure work area.

• Ability to ensure high-speed internet access/connectivity and maintain an office setup.

• Ability to remain stationary, frequently standing or sitting for extended periods.

• Capability to perform repetitive motions involving the wrists, hands, and/or fingers.

🏝️ Benefits

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Disability insurance.

• Life insurance.

• 401(k) savings plans.

• Paid family leave.

• 9 paid holidays each year.

• 17-27 days of Paid Time Off (PTO) annually, based on specific level and length of service.

• Consideration for discretionary bonuses.

• Overtime pay for nonexempt employees for hours worked over 40 per week, or as mandated by applicable state law.

• Remote work arrangement.

• Dedicated, secure work area.

• High-speed internet access/connectivity and office setup and maintenance.