Revenue Cycle Specialist 2

2 months ago


South Jordan, United States Cotiviti Full time

COTIVITI, INC.

Revenue Cycle Specialist 2

SOUTH JORDAN ,

Utah

Apply Now

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... For full info follow application link. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

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