[Hiring] Recovery Resolution Specialist @Cotiviti

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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.