
Revenue Cycle Management
4 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
Preferred:
- 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
Roles & Responsibilities
- 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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