[Remote] Recovery Resolution Specialist (Collections)

Note: The job is a remote job and is open to candidates in USA. Cotiviti is seeking a Recovery Resolution Specialist (Collections) to join their Yield Management team. This role is responsible for facilitating the collection of funds for clients while maintaining exceptional provider relations, involving communication with audit teams, payers, and providers to ensure effective collection processes.

Responsibilities

• Prepares Collections Letters. Prepares collection letters in accordance with policy and ensure they are sent out to providers within established guidelines
• Follow-up on Outstanding Claims. Follows established policies and procedures to collect identified claims. This includes contacting the providers to verify receipt of the claims and to obtain the status of any outstanding claims
• Responsible for responding to correspondence, requesting additional information from providers, preparing documents, and other administrative tasks
• Investigates Claim Disputes. Investigates claim disputes as required. Identifies issues timely and escalate to appropriate parties
• Provides accurate information, supporting documentation, and effective communication to complete recovery process
• Documents Activities Utilizing Established Tools and Systems. Documents details in the system. Utilizes with increasing proficiency, proprietary reports, tools and systems required to perform duties
• Meets or Exceed Standards for Productivity. Maintains productivity goals and standards set by the department. Insures all department rules and processes are followed. Alerts manager of system issues or other issues impacting productivity
• Meets or Exceeds Standards for Quality. 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

Skills

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

Benefits

• Medical
• Dental
• Vision
• Disability
• 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

Company Overview

Company H1B Sponsorship