Revenue Cycle Reconciliation & Audit Specialist

JobgetherHealthcare finance

Based in the United StatesFull-TimeMiddle

Salary not disclosed

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Job Details

Experience: At least 3 years of professional experience in healthcare revenue cycle operations, payment posting, financial reconciliation, auditing, accounting, or a related financial function.
Required Skills: Microsoft ExcelHIPAA

Have a high school diploma or equivalent.
Have at least 3 years of experience in healthcare revenue cycle operations, payment posting, financial reconciliation, auditing, accounting, or a related financial function.
Have experience with medical billing systems, practice management platforms, and electronic remittance files.
Have experience performing account reconciliations, variance analysis, financial reviews, and internal audits.
Have advanced proficiency in Microsoft Excel and financial reporting tools, including analyzing and managing large datasets.
Understand healthcare revenue cycle processes, including payment posting, reconciliations, adjustments, credits, refunds, and reimbursement methodologies.
Be familiar with healthcare reimbursement practices, insurance payments, contractual adjustments, and refund procedures.
Have knowledge of HIPAA regulations and practices for handling confidential patient and financial information.
Demonstrate analytical, auditing, and problem-solving abilities, including investigating discrepancies and identifying root causes.
Demonstrate attention to detail, organizational and time-management skills, and the ability to manage competing deadlines.

Perform daily, weekly, and monthly reconciliations of payments, deposits, credits, refunds, and financial adjustments.
Audit payment posting activities for accuracy, completeness, and compliance with established policies and procedures.
Investigate and resolve discrepancies involving insurance and patient payments, adjustments, denials, refunds, credits, and account balances.
Reconcile bank deposits, electronic remittance files, merchant transactions, lockbox activity, and cash posting records.
Analyze revenue cycle data to identify trends, variances, processing errors, and opportunities for improvement.
Conduct internal audits of revenue cycle workflows and supporting documentation.
Collaborate with Revenue Cycle, Accounting, and Operations teams to identify root causes and implement corrective actions.
Maintain audit documentation, reconciliation reports, supporting records, and corrective action tracking.
Support period-end financial reconciliations and prepare detailed reconciliation, audit, and performance reports.
Monitor credit balances and refunds, identify compliance risks, and contribute to process improvement initiatives.

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