[Hiring] Recovery Resolution Specialist @Cotiviti

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

We are looking for a Recovery Resolution Specialist (Collections) to join our Yield Management team! This role will facilitate the collection of funds for the client and maintains exceptional provider relations.

  • Works closely with audit team, payers and providers to understand claims and or concepts to facilitate effective communication and collection.
  • Engages in verbal and written communication involving the provider, audit staff and client.
  • Identifies problems in the collection process for escalation to the appropriate parties.
  • Prepares Collections Letters in accordance with policy and ensures they are sent out to providers within established guidelines.
  • Follows established policies and procedures to collect identified claims, including contacting providers to verify receipt of claims and obtain status of outstanding claims.
  • Responsible for responding to correspondence, requesting additional information from providers, preparing documents, and other administrative tasks.
  • Investigates claim disputes as required, identifies issues timely and escalates to appropriate parties.
  • Provides accurate information, supporting documentation, and effective communication to complete recovery process.
  • Documents details in the system utilizing proprietary reports, tools, and systems required to perform duties.
  • Maintains productivity goals and standards set by the department and alerts manager of system issues impacting productivity.
  • Achieves the expected level of quality set by the department, verifies completeness and accuracy of work, and alerts manager of issues impacting quality of work.

Qualifications

  • High School graduate or equivalent education.
  • 1 to 3 years prior collections or customer service experience required.
  • Billing or coding experience preferred.
  • Strong oral and written communication.
  • Required knowledge of Microsoft applications.

Requirements

  • 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.

Benefits

  • Base compensation ranges from $16.00 to $19.00 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 a competitive benefits package 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.
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