revenue cycle analyst

Jackson Health System

<div><p>Location: Jackson Business Cooperate Office; River Landings</p><p>
Shift: Hybrid; 8:30am- 4:30 pm</p><p>
Miami, FL Full-Time RCM - Value Alignment Group (VAG)</p><p><b>
Summary</b><br>
</p><p></p><p>The Revenue Cycle Vendor Analyst's primary responsibility will be to ensure that all vendors across revenue cycle department are functioning as expected against the contractual terms. This position will be responsible to manage SLA's, performance metrics and find opportunities for improving an optimizing performance. The role is responsible for ensuring that efforts comply with healthcare regulations (such as HIPAA), align with the organization's financial goals, and optimize the process for patient accounts. The Revenue Cycle Vendor Analyst will analyze vendor performance, resolve disputes, invoice reconciliation, ensure compliance, and work to enhance the overall efficiency of the process. The Revenue Cycle Vendor Analyst is responsible for participation in the analysis, design, implementation, and follow-up of a variety of large-scale revenue cycle projects utilizing computer systems. Participates in all phases of projects, including but not limited to: planning, designing, developing, testing, implementing, training, and troubleshooting. Position requires exercise of independent judgment as incumbents will have access to sensitive and personally identifiable information. Incumbent will also have access to detailed and aggregated revenues, expenses, patient information which must be handled with utmost diligence and high levels of responsibility.</p><br>
<br>
<p></p><p><b>Responsibilities</b><br>
</p><p></p><ul><li>Develop and maintain strong relationships with external agencies, ensuring alignment with the healthcare system's goals.</li><li>
Serve as the primary point of contact for agencies to resolve issues and ensure ongoing communication.</li><li>
Responsible for managing the vendor invoicing process, including invoice reconciliation, applying basic accounting principles to ensure accurate and timely payments.</li><li>
Ensure that agencies comply with legal, regulatory, and contractual requirements, including HIPAA and other healthcare industry standards.</li><li>
Track and analyze the performance of agencies against defined KPIs (e.g., rates, patient satisfaction, dispute resolution).</li><li>
Prepare regular reports on the status of performance, identifying trends, opportunities for improvement, and areas of concern.</li><li>
Ensure agencies are adhering to healthcare regulations and internal policies related to patient data protection, billing, and practices.</li><li>
Conduct regular audits of vendor operations to ensure compliance with industry regulations and standards.</li><li>
Analyze data to identify inefficiencies, trends, and opportunities for improvement in the process.</li><li>
Collaborate with internal stakeholders to prioritize strategies and address delays in the process.</li><li>
Identifies process improvement opportunities and supports efforts to leverage revenue cycle applications to their fullest potential.
</li><li>Reviews and analyzes system data and key performance indicators to meet or exceed operational goals.
</li><li>Supports the development and delivery of user training; assist with development and implementation of strategic goals.
</li><li>Assists in the implementation of new system software and/or modifications. Participates in all appropriate system installations.
</li><li>Assists in the management of projects alongside SME's and IT. Analyze changes and enhancements to software in order to determine impacts on existing systems/processes.
</li><li>Works closely with Patient Access, Case Management, HIM, CBO, Revenue Integrity, and other areas in a consultative capacity to support accurate and timely billing of patient account receivables.
</li><li>Has a thorough understanding of third party payer requirements for patient services. Interprets data from denials management program to develop denial prevention strategies.
</li><li>Produces ad-hoc reports and maintains proficiency in understanding revenue cycle workflows; identifies systemic issues and makes recommendations for improvements to the Revenue Cycle leadership team.
</li><li>Remains current with trends, regulatory requirements, and business strategies related to the revenue cycle.
</li><li>Represents Revenue Cycle as part of the team that evaluates, tests, and implements custom or vendor supplied business-oriented software according to user specifications.
</li><li>Maintains a significant level of expertise and proficiency in the utilization of the patient registration, scheduling, clinical and patient accounting systems. Completes assignments within deadlines and works according to project schedules.</li><li>
Performs all other related job duties as assigned.</li></ul><br>
<p></p>
<br>
<p><b>Experience</b></p><p>
Generally, requires 3 to 5 years of related experience.<br>
<br>
<br>
</p><p><b>Education</b></p><p>
Bachelor's degree in related field is strongly preferred.</p><p><b><br>
Skill</b><br>
</p><p>Familiarity with healthcare financial management systems, patient billing, and insurance verification systems. Previous experience working with agencies in a healthcare or medical billing environment. Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with professional composure. Ability to understand and follow instructions. Ability to exercise sound and independent judgment. Knowledge and skill in use of job appropriate technology and software applications. Proficiency in MS Office applications, including but not limited to, Excel, Word, PowerPoint, Visio etc. Knowledge of complex data modeling, data analytics, data querying programs is required. Adequate training will be provided to qualified internal JHS candidates.<br>
</p><p><b>Credentials</b><br>
</p><p></p><p>Valid license or certification is required as needed, based on the job or specialty.</p><p></p><p><b>
</b></p><p><b>Unit Specific Credential</b></p><p></p><p><b>
Working Conditions</b></p><p><b>
Physical Requirements</b> - Job function is sedentary in nature and requires sitting for extended periods of time. Function may require frequent standing or walking. Must be able to lift or carry objects weighing up to 20 pounds. Jobs in this group are required to have close visual acuity to perform activities such as: extended use of computers, preparing and analyzing data and analytics, and other components of a typical office environment. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).<br>
<br>
<b>Environmental Conditions</b> - Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public. Function is subject to inside environmental conditions, with occasional outdoor exposures. Possible exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment. May wear Personal Protective Equipment (PPE) such as gloves or a mask when exposed to hospital environment outside of office. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).</p></div>

Revenue Cycle Vendor Analyst

University of Kentucky

<div><div>Posting Details
</div><p></p><div><div><div><div><b>Job Title</b></div> <div>Business Partner Analyst Support/UKHC</div>
</div><br>
<div><div><b>Requisition Number</b></div> <div>RE54807</div>
</div><br>
<div><div><b>Working Title</b></div> <div>Business Partner Analyst Support</div>
</div><br>
<div><div><b>Department Name</b></div> <div>H4032: Revenue Quality Assurance</div>
</div><br>
<div><div><b>Work Location</b></div> <div>Lexington, KY</div>
</div><br>
<div><div><b>Grade Level</b></div> <div>09</div>
</div><br>
<div><div><b>Salary Range</b></div> <div>$43,680-71,323/year</div>
</div><br>
<div><div><b>Type of Position</b></div> <div>Staff</div>
</div><br>
<div><div><b>Position Time Status </b></div><div>Full-Time</div>
</div><br>
<div><div><b>Required Education</b></div>
<div>BA</div>
</div><br>
<div><div><b>Click here for more information about equivalencies:</b></div> <div>https://hr.uky.edu/employment/working-uk/equivalencies</div>
</div><br>
<div><div><b>Required Related Experience</b></div>
<div>No experience required.</div>
</div><br>
<div><div><b>Required License/Registration/Certification</b></div>
<div>None</div>
</div><br>
<div><div><b>Physical Requirements</b></div>
<div>Involves sitting approximately 90 percent of the day, walking or standing the remainder.</div>
</div><br>
<div><div><b>Shift</b></div>
<div>Monday through Friday; 8:00am &ndash; 5:00pm</div>
</div><br>
<div><div><b>Job Summary</b></div>
<div>The Business Partner Analyst Support/UKHC is responsible for developing, maintaining, and analyzing revenue cycle reports that support operational, payer, and financial decision-making across the organization. This role ensures the accuracy, consistency, and integrity of revenue cycle data across multiple systems while producing actionable insights that drive performance improvement. The analyst develops both standard and ad-hoc reports, dashboards, and visualizations to monitor key performance indicators, identify trends, and support leadership strategies. In collaboration with revenue cycle leaders, finance, and IT partners, this role translates business needs into effective reporting solutions and supports system enhancements, testing, and data governance standards.<br>
<br>
Why Work Here<br>
At UK HealthCare, you&rsquo;ll be part of a mission-driven organization where your work directly supports patient care, operational excellence, and financial sustainability. As a Business Partner Analyst Support/UKHC, you will have the opportunity to partner with leaders across revenue cycle, finance, and IT to influence decision-making through data-driven insights. UKHC offers a collaborative environment, access to complex and meaningful data, and the chance to make a measurable impact on organizational performance&mdash;all while supporting a leading academic health system committed to innovation, integrity, and continuous improvement.<br>
<br>
Effective 7/1/2026, this position will report through the Enterprise Revenue Cycle department in Beyond Blue.<br>
</div>
</div><br>
<div><div><b>Skills / Knowledge / Abilities</b></div>
<div>Proficiency in Microsoft Office products (especially Excel, Power BI, Teams, SharePoint) including knowledge of advanced formulas. Knowledge of SQL, Databricks, Epic.</div>
</div><br>
<div><div><b>Does this position have supervisory responsibilities? </b></div><div>No</div>
</div><br>
<div><div><b>Preferred Education/Experience</b></div>
<div>Experience in data modeling, report and dashboard creation, validation and analysis of financial data, health care revenue cycle (including hospital and/or professional setting).</div>
</div><br>
<div><div><b>Deadline to Apply</b></div> <div>06/28/2026</div>
</div><br>
<div><div><b>Our University Community</b></div>
<div>We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors, the University of Kentucky is a Tobacco &amp; Drug Free campus.<br>
<br>
The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status.<br>
<br>
Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.</div></div></div></div></div>

Business Partner Analyst Support/UKHC

Monument Health

<div><p>Current Employees:
</p><p><b>If you are a current Monument Health employee, please apply via the internal career site by logging into your </b>Workday Account<b> and clicking the &quot;Career&quot; icon on your homepage.</b></p><p></p><p><b>
Primary Location</b></p>
Rapid City, SD USA<p></p><p><b>
Department</b></p>
RCH Revenue Cycle Integrity and Innovation<p></p><p><b>
Scheduled Weekly Hours</b></p>
40<p></p><p><b>
Starting Pay Rate Range</b></p>
$24.43 - $30.54<p>
(Determined by the knowledge, skills, and experience of the applicant.)</p><p></p><p><b>
Job Summary</b></p>
The Revenue Integrity Analyst is accountable for monitoring charge capture, coding and variances between actual and expected reimbursement from payers. Accurately compiles information required to defend claims submission for specific services provided. Knowledge of state and federal laws and industry standards that relate to contracts, charge capture and to the appeal process is vital.<p></p><p>
Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:</p><p></p><ul><li>Supportive work culture</li><li>Medical, Vision and Dental Coverage
</li><li>Retirement Plans, Health Savings Account, and Flexible Spending Account</li><li>Instant pay is available for qualifying positions</li><li>Paid Time Off Accrual Bank</li><li>Opportunities for growth and advancement</li><li>Tuition assistance/reimbursement</li><li>Excellent pay differentials on qualifying positions</li><li>Flexible scheduling</li></ul><p></p><p><b>
Job Description</b></p><p>
Essential Functions:</p><ul><li>
Understands the Revenue Cycle and the responsibility and goals of each area and how they impact the financial wellbeing of the organization.</li><li>
Demonstrates knowledge of compliance standards and payor specific data to properly file claims, ensuring prompt, appropriate reimbursement of services and supplies billed to third parties and appropriate payment of services and supplies due from patients.</li><li>
Demonstrates working knowledge of interfaced, integrated Revenue Cycle software support tools.</li><li>
Verifies all necessary elements in the electronic medical record; appropriate charges for services rendered, accurate coding for services, reason for denials, denial status, and appeal and results of action taken.</li><li>
Performs prospective and retrospective audits, using appropriate tools to detect omissions or errors in charge capture, coding and billing.</li><li>
Verifies accuracy of transactions which appear on the account and communicates errors, omissions and corrections to appropriate caregivers.</li><li>
Understands the basics of outpatient Health Information coding, with emphasis on assigned specialties/departments.</li><li>
Has a working knowledge of the procedures and EHR workflows that are in place to generate charge capture, for assigned departments.</li><li>
Identifies additional or corrected information needed to process a denied claim through communications with the Revenue Cycle team or payor representatives in a timely manner, to expedite payor reimbursement.</li><li>
Works with Revenue Integrity leaders and caregivers to assure accurate and complete Charge Description Masters and Physician Fee Schedules via scheduled review.
</li><li>Provides a detailed and complete report monthly of charge capture audits, denials, appeals, follow-up and results on appealed accounts, root cause analysis of issues responsible for inaccurate charge capture or denied services.</li><li>
Participates in the planning, development, implementation, and maintenance of departmental monitoring tools</li><li>
Additional duties as assigned..</li></ul><p></p><p><b>
Additional Requirements</b></p><p>
Required:</p><p>
Education - High School Diploma/ GED</p><p>
Experience - Healthcare Billing, Payment Processing, and Denial Management 3+ years<br>
<br>
Preferred:</p><p>
Education - Bachelors degree in healthcare management</p><p>
Certification - Revenue Integrity certification through the appropriate agency within two years of employment</p><p></p>
Physical Requirements:<br>
Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.<p></p><p><b>
Job Category</b></p>
Revenue Cycle<p></p><p><b>
Job Family</b></p>
Revenue Integrity<p></p><p><b>
Shift</b></p><p>
Requires the ability to work assigned schedules and hours as determined by the department</p><p></p><p><b>
Employee Type</b></p>
Regular<br>
<p></p>
10 Monument Health Rapid City Hospital, Inc.<p></p><p><b>
Make a difference</b>. <i>Every day.</i></p><p></p><p><b>
Monument Health is</b><b> an Equal </b><b>Opportunity/Affirmative</b><b> Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.</b></p></div>

Revenue Integrity Analyst

Deloitte

<div>
 Epic Hospital Billing Analyst
 <br/>
 <br/>
 <strong>
  Position Summary
  <br/>
  <br/>
 </strong>
 Join Deloitte's AI &amp; Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle performance. As an Epic Hospital Billing Analyst , you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel and scheduled onsite time as needed.
 <br/>
 <br/>
 Recruiting for this role ends on 08/01/2026.
 <br/>
 <br/>
 <strong>
  Work you'll do
  <br/>
  <br/>
 </strong>
 As an Epic Hospital Billing Analyst e on the AI &amp; Engineering team, you will be responsible for supporting hospital billing activities that improve claim accuracy, reduce denials, and help clients optimize revenue cycle performance.
 <br/>
 <br/>
 <ul>
  <li>
   Review patient accounts, charge details, coding inputs, and supporting documentation for billing accuracy and completeness
  </li>
  <li>
   Prepare and submit hospital claims to commercial, government, and other third-party payers in accordance with payer requirements
  </li>
  <li>
   Validate claim data for demographics, insurance coverage, authorizations, provider information, modifiers, and coding-related elements; identify and correct claim edits, rejections, and billing errors before submission or rebilling
  </li>
  <li>
   Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve billing issues, prevent avoidable denials, and submit supporting documentation required by payer guidelines
  </li>
  <li>
   Adhere to defined standard operating procedures and workflows while working in Epic Resolute Hospital Billing, claims clearinghouse systems, payer portals, and related tools; monitor work queues and reports, support complex claim resolution, and meet productivity and quality standards
   <br/>
   <br/>
  </li>
 </ul>
 A successful candidate would possess these skills:
 <br/>
 <br/>
 <ul>
  <li>
   Ability to work independently and collaborate as part of a team
  </li>
  <li>
   Effective written and verbal communication skills
  </li>
  <li>
   Meticulous attention to detail and quality of work product
  </li>
  <li>
   Ability to build and sustain professional relationships
  </li>
  <li>
   Ability to lead projects or workstreams
  </li>
  <li>
   Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
  </li>
  <li>
   Strong interpersonal skills and professional demeanor
  </li>
  <li>
   Ability to meet deadlines
  </li>
  <li>
   Ability to provide clear guidance to others
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  The team
  <br/>
  <br/>
 </strong>
 AI &amp; Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology &amp; data platforms. Our delivery models are tailored to meet each client's unique requirements.
 <br/>
 <br/>
 Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.
 <br/>
 <br/>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 Required:
 <br/>
 <br/>
 <ul>
  <li>
   Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience
  </li>
  <li>
   2+ years of experience in hospital billing operations
  </li>
  <li>
   Experience using Epic Resolute Hospital Billing
  </li>
  <li>
   Experience working in claims clearinghouse systems
  </li>
  <li>
   Experience using Epic Analytics and Reporting applications
  </li>
  <li>
   Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve.
  </li>
  <li>
   Limited immigration sponsorship may be available.
   <br/>
   <br/>
  </li>
 </ul>
 Preferred:
 <br/>
 <br/>
 <ul>
  <li>
   Experience using Microsoft Word, Excel, and PowerPoint
  </li>
  <li>
   Experience supporting clinical or healthcare business operations
  </li>
  <li>
   Experience managing multiple projects or workstreams
  </li>
  <li>
   Experience preparing and delivering technical demonstrations
  </li>
  <li>
   Experience analyzing billing workflows, claim issues, or operational data
   <br/>
   <br/>
  </li>
 </ul>
 For individuals assigned and/or hired to work in a remote role, Deloitte is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $70,000 to $90,000.
 <br/>
 <br/>
 You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.
</div>


Hospital Billing Analyst

Physician Care Coordination Consultants (PC3)

<div>Description:
<p><b>
Job Classification:</b></p><ul><li>This is an <i>exempt</i> position under the Fair Labor Standards Act (FLSA) and is not eligible for overtime pay.</li></ul><p><b>
Our Mission:</b></p><p>
Our mission is to drive financial wellness in healthcare organizations so more patients can receive the care they need.</p><p><b>
Our Vision:</b></p><p>
Our vision is a future where we help healthcare organizations thrive in a complex ecosystem by clearing a path to financial health.</p><p><b>
Our Culture:</b></p><p>
We are committed to creating a workplace where every member feels valued, empowered, and inspired to contribute their best. Together we will foster a culture that promotes work-life balance and celebrates community engagement, personal achievements, milestones, and special occasions.</p><p><b>
Values:</b></p><p><b>
Integrity </b><i>&ndash; </i>We do what&rsquo;s right, no matter what.</p><p><b>
Innovation </b><i>&ndash; </i>We use a harmonious blend of data, tech, and a human-centric approach.</p><p><b>
Compassion </b><i>&ndash; </i>We understand the stress of healthcare organizations and their patients.</p><p><b>
Determination </b>&ndash; Our mission is our guiding force.</p><p><b>
Partnership </b>&ndash; We build enduring relationships through listening, communication and accountability.</p><p><b>
Dignity </b>&ndash; We have significant pride in each other and our work.</p><p><b><br>
Job Summary:</b></p><p>
The Revenue Specialist will demonstrate behavior that supports PC3&rsquo;s mission, culture, and values. The successful candidate will play a crucial role in optimizing the financial health of the client by identifying and successfully resolving, recovering, and preventing potential loss of revenue due to claim payment issues. They must have experience in a healthcare environment and with the insurance and revenue cycle industry and be well versed in CPT medical codes and denial reason codes.</p><p>
The Revenue Specialist will take necessary follow-up actions, including appealing denied claims with appropriate documentation and justification, identify and correct billing issues related to denials and claim rejections, dispute underpayments, audits, recoupments, report trends, and actively participate in process improvement projects when necessary. The specialist&rsquo;s persistence helps recover revenue that might otherwise be lost due to claim denials. For this reason, the Revenue Specialist must stay informed about healthcare regulations, privacy laws, and insurance policies and ensure billing practices align with legal requirements and must adhere to compliance standards and regulations related to medical billing and coding.</p><p>
This position reports directly to the Director of Revenue Strategy.</p><p><b>
Supervisory Responsibilities:</b></p><p>
This position has no direct supervisory responsibilities.</p><p><b>
Duties/Responsibilities:</b></p><ul><li>
Manage denials, appeals, audits, and other revenue cycle functions.</li><li>
Review accounts pre-service for adherence to payor guidelines including but not limited to validating correct coding, reviewing payor policies, and obtaining prior authorization.</li><li>
Coordinating with insurance providers and resolving claim denials or discrepancies.</li><li>
Effectively communicating with patients and insurance companies is essential for successful collections.</li><li>
Work product and performance are required to meet quality standards established by PC3 partners.</li><li>
Analyze data and trends to identify opportunities for process improvement.</li><li>
Participate in process reviews and implementation for clients.</li><li>
Maintain confidentiality of patient information in accordance with HIPAA guidelines.</li><li>
Attend educational sessions including but not limited to webinars, online resources, in-person conferences, and other educational opportunities to stay up to date on revenue cycle functions as necessary.</li><li>
Other duties as assigned.</li></ul>
Requirements:
<p><b>
Knowledge/Skills/Abilities:</b></p><ul><li>
Knowledge of healthcare regulations, accreditation standards, and payer requirements.</li><li>
Strong computer skills and working knowledge of the Electronic Medical Records (EMRs).</li><li>
Requires communication skills to communicate clearly and concisely verbally and in writing with clients, peers, payers, physicians, and ancillary departments.</li><li>
Knowledge/experience utilizing the Epic software system and/or other billing platforms.</li><li>
Proficient in Microsoft Office applications.</li><li>
Strong interpersonal and organizational skills.</li></ul><p><b>
Education and Experience:</b></p><ul><li>
High school diploma</li><li>
LPN or RT preferred</li><li>
3 Years Revenue Cycle experience.</li><li>
Familiarity with the insurance industry.</li><li>
Applied knowledge of CPT, ICD &amp; DRG coding systems.</li></ul><p><b>
Physical Requirements:</b></p><ul><li>
Prolonged periods of sitting at a desk and working on a computer.</li><li>
Must be able to lift up to 15 pounds at times.</li></ul></div>

Revenue Cycle Specialist

Carolina Oncology Specialists

<div><p>Carolina Oncology Specialists has been caring for patients in Catawba County since 1983, offering patients high quality, personalized healthcare close to their own home so patients and caregivers don&rsquo;t have to travel far for excellent care. Our patients experience the convenience of in-clinic chemotherapy treatments, as well as the treatment and management of blood disorders.</p><p></p><p>
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.</p><p></p><p><b>
Job Description:</b></p><div><div><p><b>
 </b>Job Description: Reconciliation Specialist</p></div><div><p><b>
 </b><b>Organization:</b> Carolina Oncology Specialists<br>
<b>Location:</b> Remote-Charlotte, NC<br>
<b>Department:</b> Revenue Cycle Management<br>
<b>Reports To:</b> RCM Manager</p></div><p></p><div><p><b><br>
Position Summary</b></p></div><div><p>
The Reconciliation Specialist is responsible for ensuring the accuracy and integrity of financial transactions related to patient accounts, insurance payments, and practice revenue. This role plays a critical part in maintaining financial compliance by reconciling payments, identifying discrepancies, and supporting revenue cycle optimization efforts within Carolina Oncology Specialists.</p></div><p></p><div><p><b><br>
Key Responsibilities</b></p></div><div><ul><li><p>
Perform daily, weekly, and monthly reconciliation of payments, including insurance remittances, patient payments, and electronic funds transfers (EFTs).</p></li></ul></div><div><ul><li><p>
Compare bank deposits, clearinghouse reports, and practice management system data to ensure alignment and completeness.</p></li></ul></div><div><ul><li><p>
Investigate and resolve discrepancies, including underpayments, overpayments, and unapplied cash.</p></li></ul></div><div><ul><li><p>
Work closely with billing, coding, and collections teams to correct posting errors and ensure accurate account balances.</p></li></ul></div><div><ul><li><p>
Monitor and reconcile accounts receivable transactions to support clean financial reporting.</p></li></ul></div><div><ul><li><p>
Validate contractual adjustments and payer reimbursement accuracy.</p></li></ul></div><div><ul><li><p>
Ensure timely posting and reconciliation of all revenue streams.</p></li></ul></div><div><ul><li><p>
Maintain detailed records of reconciliation activities and audit trails.</p></li></ul></div><div><ul><li><p>
Prepare and distribute reconciliation reports to leadership, highlighting trends and issues.</p></li></ul></div><div><ul><li><p>
Support internal and external audits by providing documentation and analysis.</p></li></ul></div><div><ul><li><p>
Assist in process improvement initiatives to strengthen revenue cycle efficiency and reduce errors.</p></li></ul></div><p></p><div><p><b><br>
Required Qualifications</b></p></div></div><div><div><ul><li><p>
High school diploma or equivalent required; Associate&rsquo;s or Bachelor&rsquo;s degree in Accounting, Finance, or related field preferred.</p></li></ul></div><div><ul><li><p>
Minimum of 2&ndash;4 years of experience in healthcare finance, medical billing, or revenue cycle reconciliation.</p></li></ul></div><div><ul><li><p>
Strong understanding of insurance remittances (EOBs/ERAs), payment posting, and healthcare reimbursement processes.</p></li></ul></div><div><ul><li><p>
Proficiency in practice management systems and Microsoft Excel (including pivot tables and reconciliation functions).</p></li></ul></div><div><ul><li><p>
High level of attention to detail and accuracy.</p></li></ul></div><div><ul><li><p>
Strong analytical and problem-solving skills.</p></li></ul></div><div><ul><li><p>
Ability to manage multiple priorities and meet deadlines.</p></li></ul></div><p></p><div><p><b><br>
Preferred Qualifications</b></p></div><div><ul><li><p>
Experience in oncology or specialty medical practice.</p></li></ul></div><div><ul><li><p>
Familiarity with payer contracts and reimbursement methodologies.</p></li></ul></div><div><ul><li><p>
Knowledge of regulatory guidelines related to healthcare billing and compliance.</p></li></ul></div><p></p><div><p><b><br>
Key Competencies</b></p></div><div><ul><li><p>
Financial Accuracy &amp; Integrity</p></li></ul></div><div><ul><li><p>
Analytical Thinking</p></li></ul></div><div><ul><li><p>
Problem Resolution</p></li></ul></div><div><ul><li><p>
Attention to Detail</p></li></ul></div><div><ul><li><p>
Collaboration &amp; Communication</p></li></ul></div><div><ul><li><p>
Time Management</p></li></ul></div></div><p></p><div><div><p><b><br>
Working Conditions</b></p></div><div><ul><li><p>
Primarily office-based role with extended periods of computer work.</p></li></ul></div><div><ul><li><p>
May require occasional extended hours during month-end close or audit periods.</p></li></ul></div></div></div>

Reconciliation Specialist

Mile Bluff Medical Center

<div><p><b>General Information:</b></p><p>
Job title: Denial Management Specialist</p><p>
Schedule: Full-time, 80 hours per pay period; Monday-Friday, 8:00am - 4:30pm</p><p>
Weekend rotation: No weekends</p><p>
Holiday rotation: Paid Holidays</p><p><b>
Position Summary:</b></p><p>
The Denial Management Specialist position gathers, interprets, and reviews data to assess for root cause analytics to then implement process improvement to reduce denials and write offs to optimize A/R.</p><p><b>
Position Responsibilities:</b></p><ul><li>
Creates Revenue Cycle reports</li><li>
Responsible for collecting, researching and analyzing business and operational data.</li><li>
Provides monitoring and trending of system denials.</li><li>
Works with other departments, including operational, to reduce the dollar amounts of denials and rework.</li><li>
Works denials to resolution.</li><li>
Collaborates with other revenue cycle departments to educate on denial trends.</li><li>
Identifies and monitors process improvement efforts with the revenue cycle.</li><li>
Establishes definitions and criteria for reporting avoidable denials.</li><li>
Attends workshops and seminars to maintain a high level of knowledge and capabilities related to position.</li><li>
Perform other duties as requested.</li></ul><p><b>
Position Requirements:</b></p><ul><li>
High school diploma or equivalent required.</li><li>
AA or 4 years of equivalent experience required.</li><li>
5+ years of related work experience preferred.</li><li>
Experience working in the medical industry preferred.</li><li>
Exceptional accuracy and attention to detail required.</li></ul><p><b>
Knowledge, Skills, &amp; Abilities</b></p><ul><li>
Intermediate to Expert proficiency with computers is required.</li><li>
Thorough understanding of billing process.</li><li>
Basic understanding of coding.</li><li>
Strong quantitative and analytical competency.</li><li>
Self-starter with excellent interpersonal communication and problem-solving skills.</li></ul></div>

Denial Management Specialist

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