Revenue Cycle Specialist

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

📋 Description

• Reconcile and record all incoming payments.

• Identify inconsistencies and analyze issues to ensure prompt payment posting.

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

• Reconcile data across various sources.

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

• Collaborate with the Accounts Payable department to issue refunds as necessary.

• Reconcile monthly bank statements with the cash posting database.

• Post adjustment transactions to collection and client systems.

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

• Access and comprehend online systems to identify how claims were settled and accurately apply payments and adjustments.

• Assist in determining the adjudication process for refunds.

• Prepare and document financial transactions for assigned accounts.

• Ensure daily deposit reconciliation and maintain both daily and monthly audit reports.

• Reconcile daily deposit totals while reviewing and correcting discrepancies.

• Balance and reconcile bank deposits, communicating with both internal and external customers.

• Research and allocate payments that lack obvious invoice numbers or dates of service.

• Identify the correct claim for payments using valid patient and date-of-service data.

• Stay informed about compliance and recovery laws concerning processing and recoupment to ensure adherence to state regulations.

⛳️ Requirements

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

• Strong preference for knowledge of healthcare claims.

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

• Excellent organizational skills to manage multiple priorities.

• High attention to detail and accuracy is crucial.

• Familiarity with relevant industry standards is necessary.

• Exceptional verbal and written communication skills.

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

• Must be able to maintain a secure and dedicated work area.

• Must provide high-speed internet access/connectivity along with an appropriate office setup and maintenance.

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

• Must be capable of performing repetitive motions involving the wrists, hands, and/or fingers.

🏝️ Benefits

• Discretionary bonus eligibility.

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Disability insurance coverage.

• Life insurance coverage.

• 401(k) savings plans.

• Paid family leave.

• 9 paid holidays annually.

• 17–27 days of Paid Time Off (PTO) each year, depending on specific level and length of service.

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

• Dedicated and secure work environment.

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