Revenue Cycle Specialist 2

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.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.

Qualifications

• 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.

Mental Requirements:

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

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 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.

Base compensation ranges from $21.75 to $25.50 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

 

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. 

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