Senior Revenue Cycle Specialist

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

📋 Description

• Act as a subject matter expert in Revenue Cycle knowledge.

• Collaborate with the Team Lead to create and manage onboarding materials and training for new hires.

• Accurately complete or oversee organizational processes in compliance with policies and regulations, ensuring timeliness.

• Monitor processes and generate quality reports for management review.

• Analyze and execute procedural modifications to enhance performance, efficiency, revenue, and margins.

• Address and resolve errors and exceptions.

• Identify opportunities for revenue-cycle improvements and implement effective solutions.

• Act as a primary contact for departments, clients, and audits; investigate and resolve issues and outstanding claims.

• Post payments and adjustment transactions to collection and client systems.

• Reconcile bank transactions, monthly bank statements, deposits, and cash-posting databases.

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

• Prepare and record financial transactions while maintaining audit documentation.

• Stay informed about compliance and recovery laws related to processing and recoupment.

• Achieve department productivity, quality, and process standards.

• Utilize Cotiviti, client systems, web platforms, filing systems, word-processing, spreadsheets, and PowerPoint tools.

• Assist with audit activities, resolve problems, and mentor team members.

⛳️ Requirements

• 2–4 years of relevant experience and/or an Associate or bachelor’s degree is preferred.

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

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

• Proficiency in MS Excel is required.

• Experience with Access is highly preferred.

• Familiarity with revenue cycle practices.

• Healthcare experience is a plus.

• Ability to work collaboratively in a team setting as well as independently.

• Exceptional organizational skills to manage multiple priorities.

• Understanding of Cotiviti Core Values, Strategic Pillars, and Operations Disciplines.

• Capability to provide a dedicated and secure work area.

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

• Adherence to HIPAA laws and requirements, along with external regulatory standards.

🏝️ Benefits

• Discretionary bonus consideration.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Disability insurance.

• Life insurance coverage.

• 401(k) savings plan.

• Paid family leave.

• 9 paid holidays annually.

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

• A dedicated and secure work area is required.

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