[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.ResponsibilitiesPrepares Collections Letters. Prepares collection letters in accordance with policy and ensure they are sent out to providers within established guidelinesFollow-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 claimsResponsible for responding to correspondence, requesting additional information from providers, preparing documents, and other administrative tasksInvestigates Claim Disputes. Investigates claim disputes as required. Identifies issues timely and escalate to appropriate partiesProvides accurate information, supporting documentation, and effective communication to complete recovery processDocuments Activities Utilizing Established Tools and Systems. Documents details in the system. Utilizes with increasing proficiency, proprietary reports, tools and systems required to perform dutiesMeets 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 productivityMeets 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 workSkillsHigh School graduate or equivalent education1 to 3 years prior collections or customer service experience requiredStrong oral and written communicationRequired knowledge of Microsoft applicationsBilling or coding experience preferredBenefitsMedicalDentalVisionDisabilityLife insurance coverage401(k) savings plansPaid family leave9 paid holidays per year17-27 days of Paid Time Off (PTO) per yearCompany OverviewCotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States. It was founded in 1979, and is headquartered in South Jordan, UT, US, with a workforce of 5001-10000 employees. Its website is http://www.cotiviti.com.Company H1B SponsorshipCotiviti has a track record of offering H1B sponsorships, with 165 in 2025, 118 in 2024, 90 in 2023, 102 in 2022, 72 in 2021, 67 in 2020. Please note that this does not guarantee sponsorship for this specific role.



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