Revenue Cycle Reconciliation & Audit Specialist

- Perform daily, weekly, and monthly reconciliations of revenue cycle transactions, including payments, deposits, credits, refunds, and financial adjustments.

- Audit payment posting activities to verify accuracy, completeness, and compliance with established policies and procedures.

- Investigate and resolve discrepancies involving insurance payments, patient payments, contractual adjustments, denials, refunds, credits, and outstanding account balances.

- Reconcile bank deposits, electronic remittance files, merchant transactions, lockbox activity, and cash posting records.

- Analyze revenue cycle data to identify financial trends, unusual variances, processing errors, and opportunities for operational improvement.

- Conduct internal audits of revenue cycle workflows and supporting documentation to ensure financial accuracy and compliance.

- Collaborate with Revenue Cycle, Accounting, Operations, and other relevant departments to investigate discrepancies, identify root causes, and implement corrective actions.

- Maintain comprehensive audit documentation, reconciliation reports, supporting records, and corrective action tracking.

- Monitor credit balances and refund activities, ensuring timely processing, accurate reporting, and appropriate resolution.

- Support month-end, quarter-end, and year-end financial reconciliation activities and reporting requirements.

- Prepare and distribute detailed reconciliation, audit, and performance reports to support leadership oversight and decision-making.

- Contribute to process improvement initiatives designed to strengthen financial controls, minimize errors, and increase operational efficiency.

- Identify potential financial and regulatory compliance risks and recommend appropriate mitigation measures.

- Participate in system testing, workflow validation, and revenue cycle-related projects as required.

- Protect the confidentiality and security of sensitive financial and patient information in accordance with HIPAA requirements and internal policies.

- High school diploma or equivalent required.

- Post-secondary education in Accounting, Finance, Business Administration, Healthcare Administration, or a related discipline strongly preferred; a bachelor's degree is an advantage.

- At least 3 years of professional experience in healthcare revenue cycle operations, payment posting, financial reconciliation, auditing, accounting, or a related financial function.

- Previous experience with medical billing systems, practice management platforms, and electronic remittance files required.

- Demonstrated experience performing account reconciliations, variance analysis, financial reviews, and internal audits.

- Experience supporting multi-site healthcare organizations is preferred.

- Advanced proficiency in Microsoft Excel and financial reporting tools, including the ability to analyze and manage large datasets.

- Strong understanding of healthcare revenue cycle processes, including payment posting, reconciliations, adjustments, credits, refunds, and reimbursement methodologies.

- Familiarity with healthcare reimbursement practices, insurance payments, contractual adjustments, and refund procedures.

- Excellent analytical, auditing, and problem-solving abilities, with the capacity to identify discrepancies, investigate root causes, and recommend effective solutions.

- Exceptional attention to detail and a strong commitment to financial accuracy, data integrity, and compliance.

- Knowledge of HIPAA regulations and best practices for managing confidential patient and financial information.

- Strong organizational and time-management skills, with the ability to prioritize multiple responsibilities, manage competing deadlines, and perform effectively in a fast-paced environment.

- Excellent written and verbal communication skills, with the ability to collaborate effectively across finance, healthcare operations, and other departments.

- A proactive and continuous improvement mindset, with the ability to identify process inefficiencies and recommend practical enhancements.

- Remote work:
Fully remote working arrangement, offering flexibility and convenience.

- Full-time opportunity:
Stable, full-time position within a healthcare financial operations environment.

- Professional development:
Opportunity to strengthen expertise in healthcare revenue cycle management, financial auditing, and reconciliation.

- Cross-functional collaboration:

Work closely with Finance, Accounting, Revenue…