Revenue Cycle Specialist 2 - Remote - Military Veterans
at Cotiviti
Overview
A Revenue Cycle Specialist 2 is a member of the Revenue Cycle team within the Yield Management Division. The Specialist 2 is responsible for moderate to complex levels of recurring and/or daily functions and processes that are necessary for business execution. This would include the reconciliation and posting of all payments received, identification of discrepancies, and analyzed issues to ensure payments are posted timely. Other responsibilities will include processing invoices, managing large sets of inventories and the ability to process electronic requests in multiple systems and platforms.
Additionally, this person will complete and/or monitor organizational functions or processes, ensuring they are completed accurately, on time, and in compliance with established policies and regulations. This individual will track processes, prepare reports for management detailing quality or quality of departmental actions, and implements procedural changes meant to improve performance and/or efficiency. LI-KB1
Responsibilities
- Understands the moderate to complex levels of the work to become a subject matter expert.
- Ability to resolve minor errors and handles exceptions of limited risk or complexity.
- A Specialist 2 may assist with onboarding and new hire training of Revenue Cycle Specialists.
- May act as a mentor or new hire buddy through coaching and training of Specialists.
- A Specialist 2 will work in collaboration with both a Specialist and Senior for knowledge share of information including tools and tips for work execution.
- Post payments to recovery accounts to reconcile with posted bank transactions, works with Accounts Payable (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.
- Performs cash application functions and processes relevant to the Corporate and client requirements in a manner that meets or exceeds key performance criteria.
- Access and understand necessary information of the various online systems, understanding the systems process in determining how a claim has been paid to accurately apply payments and adjustments and assists in determining the adjudication of a refund.
- 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. Reviews and reconciles daily deposit totals.
- 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.
- 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 recovery cycle.
- Maintains productivity goals and standards set by the department. Ensures all department rules and processes are followed. Alerts manager of system issues or other issues impacting productivity.
- Achieves the expected level of quality set by the department. Verifies completeness and accuracy of work. Alerts manager of issues or concerns impacting quality of work.
- Quickly grasps a working understanding of basic elements and concepts of audit operations. Demonstrates enthusiasm for learning and applying knowledge to the completion of tasks. Successfully integrates and executes new assignments with moderate guidance and direction.
- Demonstrates adeptness in gathering data, analyzing problems, evaluating options, and developing/implementing creative solutions to job challenges. Makes logical, well-reasoned and timely decisions, seeking guidance and support as appropriate.
- Shows initiative and a willingness to engage in all audit support activities. Reaches beyond current tasks to add value to broader team. Goes the extra step to solve problems instead of waiting for someone else to solve them.
- Works with clients, customers, and partners to accurately assess their needs, provide information or assistance, resolve problems, or satisfy requirements.
- Can be counted on to consistently meet or exceed goals and perform at expected levels of quality and productivity. Demonstrates willingness and readiness to take on more responsibility in support of the audit.
- 1 - 3 years or related experience and/or Associate or bachelor's degree preferred
- Bachelor's degree in Business related field OR 3+ years of Accounting/Finance related experience
- Computer proficiency in Microsoft Office applications and 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.
- Communicating with others to exchange information.Assessing the accuracy, neatness, and thoroughness of the work assigned.
- 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 expected.
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: 1/17/2025Applications are assessed on a rolling basis. We anticipate that the application window will close on 2/17/2025 if a qualified candidate is selected.
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Cotiviti is an Equal Opportunity Employer. The Company provides equal employment opportunities to all applicants for employment without regard to gender, sexual orientation or preference, gender identity or expression, race, color, religion, national origin, ethnicity, ancestry, age, marital status, pregnancy, childbirth or related medical conditions, mental or physical disability, veteran status or any other characteristic protected by federal, state or local law, ordinance or regulation.
United States / Remote
Cotiviti is a leading solutions and analytics company that leverages unparalleled clinical and financial datasets to deliver deep insight into the performance of the healthcare system. These insights uncover new opportunities for healthcare organizations to collaborate to improve their financial performance, reduce inefficiency, and improve healthcare quality.
We focus on improving the financial and quality performance of our clients. In healthcare, this means taking in billions of clinical and financial data points, analyzing them, and then helping our clients discover ways they can improve efficiency and quality. In addition, we support retail and life/legal industries with data management and recovery audit services.
Cotiviti applies deep data science and market expertise to help healthcare organizations in three critical areas:
· Payment Accuracy: analyzing data flowing between payers and providers to ensure that claims are paid appropriately
· Risk Adjustment: ensuring that health plans accurately capture and report how sick their members are so that plans are appropriately reimbursed for the healthcare services their members receive
· Quality and Performance: evaluating healthcare cost, quality, and utilization at individual, provider, and population levels to identify the best opportunities for financial and clinical performance improvement