Senior Revenue Cycle Specialist
WFA Digital Insight
The demand for skilled revenue cycle specialists has seen significant growth, with a 25% increase in job postings over the past year. As the healthcare industry continues to evolve, professionals with expertise in revenue cycle management are in high demand. Cotiviti, a leading provider of payment accuracy solutions, is seeking a Senior Revenue Cycle Specialist to join their team. With a strong foundation in Excel and Adjust, the ideal candidate will have a deep understanding of revenue cycle processes and be able to analyze complex issues. Before applying, candidates should be aware that this role requires strong problem-solving skills, attention to detail, and the ability to work independently.
Job Description
About the Role
The Senior Revenue Cycle Specialist will play a critical role in Cotiviti's Revenue Cycle team, working closely with other members of the Yield Management Division to ensure departmental expectations are met. This position involves managing complex daily functions and processes, including payment posting, invoicing, and offset analysis. The successful candidate will be responsible for identifying discrepancies, analyzing issues, and implementing solutions to ensure timely payment posting.As a subject matter expert in the revenue cycle space, the Senior Specialist will collaborate with the Team Lead to develop and oversee new hire onboarding materials, ensuring the effective training of Specialists and Specialist 2's. The role requires strong analytical skills, with the ability to track processes, prepare reports for management, and identify opportunities for procedural change.
The Senior Revenue Cycle Specialist will work closely with other departments, serving as a key point of contact for audit and client issues. The ability to resolve errors and handle exceptions of limited risk and complexity is essential, as is the ability to think critically and implement plans to improve performance and efficiency.
What You Will Do
- Manage daily functions and processes, including payment posting, invoicing, and offset analysis
- Identify discrepancies, analyze issues, and implement solutions to ensure timely payment posting
- Collaborate with the Team Lead to develop and oversee new hire onboarding materials
- Track processes, prepare reports for management, and identify opportunities for procedural change
- Resolve errors and handle exceptions of limited risk and complexity
- Post adjustment transactions to collection system and client's system
- Reconcile monthly bank statements with cash posting database
- Prepare and record financial transactions for assigned accounts
- Ensure daily deposit reconciliation and maintain daily, monthly reporting for audit purposes
- Research and distribute payments with no apparent invoice number or date-of-service
- Maintain thorough and detailed knowledge of compliance and recovery laws and regulations
What We Are Looking For
- 3+ years of experience in revenue cycle management or a related field
- Strong foundation in Excel and Adjust
- Ability to analyze complex issues and implement solutions
- Strong problem-solving skills and attention to detail
- Ability to work independently and collaboratively as part of a team
- Excellent communication and interpersonal skills
- Knowledge of compliance and recovery laws and regulations
Nice to Have
- Experience with electronic health records (EHRs) and practice management systems (PMS)
- Certification in revenue cycle management or a related field
- Experience with data analysis and reporting tools
Benefits and Perks
- Competitive salary and benefits package
- Opportunity to work with a leading provider of payment accuracy solutions
- Collaborative and dynamic work environment
- Professional development and growth opportunities
- Flexible work arrangements, including remote work options
- Comprehensive health insurance and retirement plans
- Paid time off and holidays
How to Stand Out
- Develop a strong understanding of revenue cycle management principles and practices to stand out as a candidate.
- Highlight your analytical and problem-solving skills, as these are essential for success in this role.
- Be prepared to provide examples of your experience with Excel and Adjust, as well as any other relevant tools or software.
- Show a willingness to learn and adapt to new systems and processes, as the revenue cycle management landscape is constantly evolving.
- Emphasize your attention to detail and ability to work independently, as these are critical skills for this position.
- Consider obtaining certification in revenue cycle management or a related field to demonstrate your expertise and commitment to the field.
- Research Cotiviti's products and services to understand how they are used in revenue cycle management and be prepared to ask informed questions during the interview process.
This is a remote position listed on WFA Digital, the platform for professionals who work from anywhere. Browse more remote jobs across all categories.