Recovery Resolution Specialist, Collections

Recovery Resolution Specialist (Collections)

Job Locations: US-Remote

ID: 2026-17499

Category

Audit - Healthcare

Position Type

Full-Time

Overview

We are looking for an 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.

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.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.  

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.

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.

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. 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.
Applications are assessed on a rolling basis. We anticipate that the application window will close on 1/21/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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Cotiviti is an equal employment opportunity employer. Cotiviti recruits, hires and promotes individuals based on their qualifications for a specific job. Selection of employees is made without regard to race, color, creed, sex, age, religion, pregnancy or pregnancy-related conditions, national origin, sexual orientation, gender identity, marital status, genetic carrier status, military service, veteran status, uniformed service member status, disability, or any other category of class protected by federal, state or local laws. All employment decisions and personnel actions, such as hiring, promotion, compensation, benefits, and termination, are and will continue to be administered in accordance with, and to further the principle of, equal employment opportunity.
Pay Transparency Nondiscrimination Provision
Cotiviti will not discharge or in any manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-I.35(c)