Senior Revenue Cycle Specialist

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

📋 Description

• The Senior Specialist serves as a subject matter expert in all aspects of the Revenue Cycle domain.

• Collaborates with the Team Lead to create and manage onboarding materials for new hires, ensuring effective training for Specialists and Specialist 2’s.

• Completes or supervises organizational functions or processes, ensuring accuracy, timeliness, and adherence to established policies and regulations.

• Monitors processes and prepares management reports detailing the quality of departmental actions.

• Analyzes, identifies, and implements opportunities for procedural changes to enhance performance and efficiency, while maximizing revenue or margins.

• Capable of resolving errors and managing exceptions of limited risk and complexity.

• Identifies opportunities to enhance revenue cycle processes and suggests solutions to capitalize on these opportunities.

• Collaborates with the manager to create an implementation plan and can operate independently or with the assistance of Specialists to execute the plan.

• Thinks critically during the implementation of plans to identify gaps and make necessary adjustments.

• Acts as a primary point of contact for other departments regarding audits and clients.

• Resolves client and audit issues to completion with meticulous attention to detail and the highest level of professionalism.

• Conducts research and resolution on outstanding claims.

• Posts adjustment transactions in both the collection system and the client's system.

• Records payments to collection accounts, reconciles with posted bank transactions, collaborates with the AP department for refund issuance when necessary, and reconciles monthly bank statements with the cash posting database.

• Accesses and comprehends necessary information from various online systems, understanding the processes involved in determining how claims have been paid to accurately apply payments and adjustments, and assists in adjudicating funds.

• Prepares and documents financial transactions for assigned accounts to ensure accurate and timely financial history.

• Ensures monthly reporting is conducted for audit purposes.

⛳️ Requirements

• 2-4 years of relevant experience and/or an Associate's or Bachelor's degree preferred.

• Bachelor’s Degree in Accounting, Finance, Business, or five (5) years of relevant experience preferred.

• A minimum of two years of financial and/or business-related experience.

• Proficiency in MS Excel is required; knowledge of Access is strongly preferred.

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

• Familiarity with revenue cycle practices.

• Experience in healthcare is a plus.

• Excellent organizational skills are required to manage multiple priorities.

🏝️ Benefits

• 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.