Senior Revenue Cycle Specialist

Cotiviti

106d • $22 - $24

About The Position

A Senior Revenue Cycle Specialist is a member of the Revenue Cycle team within the Yield Management Division. This department may work directly with other members of Yield to ensure department expectations are accomplished. The Sr. Specialist, Revenue Cycle position is responsible for complex levels of recurring and/or daily functions and processes that are necessary for business execution; including but not limited to, ensuring the quality of various functions within the department (check application, offsets, invoicing, etc.). Other responsibilities will include solving complex issues that have been identified and being a point person for other Revenue Cycle Specialists within the department. A Senior Specialist will identify discrepancies, analyze issues to ensure payments are posted timely and process electronic requests in multiple systems and platforms. Additionally, a Senior is a subject matter expertise and works directly with the Team Lead to ensure the success of the team in creating and identifying training materials and assisting with new hire onboarding and orientation, acting as a mentor for others on the team.

Requirements

• 2 -4 years of related experience and/or Associate or bachelor’s degree preferred.
• Bachelor's Degree in Accounting/Finance/Business or five (5) years relevant experience preferred.
• Minimum of two years of financial and/or business-related experience.
• Proficiency in MS Excel required; Access strongly preferred.
• Ability to work both in a team and independently.
• Knowledge of revenue cycle practices.
• Healthcare experience a plus.
• Excellent organizational ability required to handle multiple priorities.

Responsibilities

• A Senior Specialist is identified as a subject matter expert on all knowledge within the Revenue Cycle space.
• Collaborate with the Team Lead to develop and oversee new hire onboarding materials, ensuring the effective training of Specialists and Specialist 2’s.
• Completes or monitors organizational functions or processes, ensuring that they are completed accurately, on time, and in compliance with established policies and regulations.
• Tracks processes, preparing reports for management detailing quality or quality of departmental actions.
• Analyzes, identifies, and implements procedural change opportunities to improve performance and efficiency, and maximize revenue or margins.
• Ability to resolve errors and handles exceptions of limited risk and complexity.
• Identifies opportunities to improve revenue cycle processes and proposes solutions to capitalize on opportunities.
• Works with manager to establish an implementation plan and can work independently or with support of Specialists to implement plan.
• Thinks critically through implementation of plans to identify gaps and make necessary adjustments.
• Serves as a key point of contact for other departments on the audit and the client.
• Resolves client and audit issues to completion with attention to detail and the highest level of professionalism.
• Conducts research and resolution on outstanding claims.
• Posts adjustment transactions to collection system as well as client’s system.
• Posts payments to collection accounts, reconciles with posted bank transactions, works with AP department to have refund issued when needed, reconciles monthly bank statements with cash posting database.
• Access and understand necessary information from the various online systems, understanding the systems process in determining how a claim has been paid to accurately apply payments and adjustments.
• Prepares and records financial transactions for assigned accounts to accumulate and record accurate and timely financial history.
• Ensures monthly reporting for audit purposes.
• Researches and accurately distributes payments with no apparent invoice number, or date-of-service.
• Maintains thorough and detailed knowledge of compliance and recovery laws regarding processing and recoupment.
• Maintains productivity goals and standards set by the department.
• Quickly grasps a working understanding of basic elements and concepts of audit operations.
• Demonstrates adeptness in gathering data, analyzing problems, evaluating options, and developing/implementing creative solutions to job challenges.
• Demonstrates competency with tools of the job including but not limited to filing systems, computers, word processing & spreadsheet applications, web systems, Cotiviti and Client systems.
• Demonstrates ability to plan, organize, and prioritize multiple tasks and ensure timely completion.
• Shows initiative and a willingness to engage in all audit support activities.
• Demonstrates understanding of Cotiviti policies & procedures, and external regulatory requirements.
• 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.

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.

What This Job Offers

• Career Level: Entry Level
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees