Revenue Cycle Reconciliation & Audit Specialist

Accountabilities:: 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. Requirements: 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. Benefits: 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 Cycle, and Operations teams. Career growth: Exposure to financial reporting, internal controls, compliance, and process improvement initiatives. Meaningful impact: Contribute to the financial accuracy, operational efficiency, and integrity of healthcare services.