
Revenue Cycle Management
5 days ago
Qualifications Required
Bachelors degree in Accounting, Finance, Healthcare Administration, or related field
At least 1 to 2 years of experience in the US healthcare revenue cycle, with exposure to payment posting, cash reconciliation, and EOB interpretation
Strong attention to detail and data accuracy
Proficiency in Microsoft Office (Excel, Word, Outlook)
Effective verbal and written communication skills
Hands-on experience with Practice Management Systems (e.g., Avatar, Catalyst, PCMS, Therap, Rethink)
Familiarity with RCM and payment platforms (e.g., Ability/Inovalon, Netsmart)
Knowledge of HIPAA and payment card industry (PCI) data security standards
Experience working with multi-state payers and large-scale healthcare providers
Accurately post payments, denials, and adjustments from insurance, patients, and third-party payers within set timelines
Perform daily, weekly, and monthly cash reconciliation and ensure alignment with internal records and bank statements
Monitor and manage unapplied payments, provider-level balances, and refund requests
Balance and verify payment batches and ensure they match remittance advices and bank deposits
Investigate and resolve discrepancies or posting errors by coordinating with other departments or payers
Interpret and apply Explanation of Benefits (EOBs) data for accurate payment processing
Process and post credit card transactions securely and in compliance with industry standards
Generate reports on cash posting activity and identify trends, issues, or improvement opportunities
Maintain clear and professional communication with team members, clients, insurance carriers, and patients regarding payment matters
Ensure compliance with HIPAA, payer guidelines, and internal audit requirements
Recommend and support process improvements to enhance posting workflow efficiency
Support special projects and cross-functional initiatives as assigned by leadership
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