Recovery Resolution Specialist

Cotiviti; United (PA); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare solutions company is seeking a Recovery Resolution Specialist to prepare collections letters and manage claim disputes. This entry-level role requires a high school diploma and 1-3 years of customer service experience. Candidates must possess strong communication skills and a knowledge of Microsoft applications. This position offers a flexible remote work environment and competitive benefits, including medical, dental, and PTO.

Benefits

Medical insurance

Dental insurance

Vision insurance

401(k) savings plan

Paid family leave

Paid Time Off (PTO)

Qualifications

• 1 to 3 years of prior collections or customer service experience required.
• Billing or coding experience preferred.

Responsibilities

• Prepares collections letters in accordance with policy.
• Follows established policies to collect identified claims.
• Investigates claim disputes and provides accurate information.
• Documents details in the system utilizing established tools.
• Maintains productivity goals and standards set by the department.
• Achieves expected level of quality set by the department.

Skills

Oral communication

Written communication

Microsoft applications knowledge

Education

High School diploma or equivalent

Bachelor Degree

Job description

Job Information

Recovery Resolution Specialist from the Company Cotiviti, this latest Recovery Resolution Specialist job vacancy is located in the city Remote located in the country United States. This latest job opening is open to job seekers who have the latest education / graduate Bachelor Degree. Job Vacancies in this Entry Level field have been opened and published up to the specified time.

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.

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.

Base compensation ranges from $14.50 to $19.00/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. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, 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. For information about our benefits package, please refer to our Careers page. Date of posting: 1/18/2024 Applications are assessed on a rolling basis. We anticipate that the application window will close on 3/18/2024, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote #LI-KK1 #juniorKeywords :
Closed Date : 2025-10-26