Revenue Cycle Specialist

We are looking for a Revenue Cycle Specialist to join our Yield Management team. This role focuses on reconciliation, payment posting, and system alignment between Cotiviti and our clients.

Responsibilities

• Post payments to collection accounts and reconcile with posted bank transactions.
• Work with the AP department to issue refunds when needed.
• Reconcile monthly bank statements with the cash posting database.
• Post adjustment transactions to both the collection system and the client’s system.
• Perform cash application functions to meet or exceed key performance criteria for Corporate and client requirements.
• Access and understand information from various online systems to accurately apply payments and adjustments.
• Assist in determining the adjudication of refunds by analyzing how claims have been paid.
• Prepare and record financial transactions for assigned accounts to ensure accurate and timely financial history.
• Maintain daily deposit reconciliation and monthly reporting for audit purposes.
• Reconcile daily deposit totals, review and correct discrepancies, and ensure cash balancing.
• Facilitate communication between internal and external customers regarding bank deposits.
• Research and accurately distribute payments with missing invoice numbers or dates of service.
• Determine the correct claim for payments when valid patient or date-of-service information is available.
• Maintain thorough knowledge of compliance and recovery laws to ensure adherence to state regulations throughout the collection cycle.

Requirements

• Bachelor’s degree in Finance, Accounting, or Business, or three (3) years of Accounting/Finance experience.
• Knowledge of healthcare claims is strongly preferred.
• Proficiency in Microsoft Office applications and system databases.
• Excellent organizational skills to handle multiple priorities.
• Strong attention to detail and accuracy.
• Working knowledge of applicable industry-based standards.
• Excellent verbal and written communication skills.
• Ability to work well both individually and in a team environment.

Mental Requirements

• Communicating with others to exchange information.
• Assessing the accuracy, neatness, and thoroughness of assigned work.

Physical Requirements and Working Conditions

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must provide a dedicated, secure work area with high-speed internet access and office setup.
• No adverse environmental conditions are expected.

Pay

Base compensation ranges from $20.00 to $23.50 per hour. Specific offers are determined by factors such as experience, education, skills, certifications, and business needs.

Benefits

• Competitive benefits package including 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 level and length of service.
• Discretionary bonus consideration.
• Overtime pay for hours worked in excess of 40 hours per week (or as required by state law).