Billing Representative - Level I

SimonMed; Scottsdale (AZ); On-site; USD 60,000 - 90,000; Full time

Job summary

SimonMed is seeking a Revenue Cycle Reconciliation Analyst in Scottsdale, AZ to perform daily to monthly reconciliations of revenue cycle transactions, audits, and reporting. The role requires 3+ years in healthcare revenue cycle, strong Excel skills, and HIPAA compliance awareness.

You will analyze data, identify improvement opportunities, and support multi-site operations while ensuring accurate patient and financial information handling.

Qualifications

• High school diploma or equivalent required; post-secondary education preferred in accounting/finance/business/healthcare administration.
• 3+ years of experience in healthcare revenue cycle, payment posting, reconciliation, auditing, accounting, or related financial operations.
• Experience with medical billing systems and electronic remittance files required.
• Experience performing account reconciliations, variance analysis, audits, and financial reviews.
• Experience supporting multi-site healthcare organizations preferred.
• Advanced proficiency with Microsoft Excel and reporting tools.
• Ability to analyze large data sets and identify trends and process improvements.

Responsibilities

• Perform reconciliations of revenue cycle transactions, payments, deposits, credits, refunds, and adjustments.
• Audit payment posting activities for accuracy and compliance with policies.
• Research and resolve discrepancies involving insurance and patient payments, credits, refunds, denials, and balances.
• Reconcile bank deposits, electronic remittances, merchant transactions, lockbox activity, and cash posting records.
• Analyze revenue cycle data to identify trends, variances, errors, and improvement opportunities.
• Conduct internal audits of revenue cycle processes and documentation for accuracy and compliance.
• Investigate and resolve reconciliation variances in collaboration with Revenue Cycle, Accounting, Operations, and other departments.
• Maintain audit findings, reconciliation reports, supporting documentation, and corrective actions.
• Monitor credit balances and refund activities for timely resolution.
• Assist with month-end, quarter-end, and year-end reconciliation activities and reporting.
• Prepare and distribute reconciliation, audit, and performance reports for leadership.
• Support process improvement initiatives to strengthen controls and reduce errors.
• Identify compliance risks and recommend corrective actions.
• Participate in system testing, workflow validation, and revenue cycle projects.
• Ensure confidentiality and security of financial and patient information per HIPAA.

Skills

Healthcare revenue cycle

Auditing

Data analysis

Excel

HIPAA knowledge

Attention to detail

Communication

Education

Bachelor's degree preferred

Post-secondary education in Accounting/Finance/Business Admin/Healthcare Admin

Tools

Billing systems

Practice management systems

Microsoft Excel

Job description

Job Duties:

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


• Audit payment posting activities to ensure accuracy, completeness, and compliance with established policies and procedures.


• Research and resolve discrepancies involving insurance payments, patient payments, credits, refunds, denials, contractual adjustments, and account balances.


• Reconcile bank deposits, electronic remittances, merchant transactions, lockbox activity, and cash posting records.


• Analyze revenue cycle data to identify trends, variances, errors, and opportunities for process improvement.


• Conduct internal audits of revenue cycle processes and documentation to ensure accuracy and compliance.


• Investigate and resolve reconciliation variances in collaboration with Revenue Cycle, Accounting, Operations, and other departments.


• Maintain detailed audit findings, reconciliation reports, supporting documentation, and records of corrective actions.


• Monitor credit balances and refund activities to ensure timely and accurate resolution.


• Assist with month-end, quarter-end, and year-end reconciliation activities and reporting requirements.


• Prepare and distribute reconciliation, audit, and performance reports for leadership review.


• Support implementation of process improvement initiatives designed to strengthen controls, reduce errors, and improve operational efficiency.


• Identify potential compliance risks and recommend corrective actions when appropriate.


• Participate in system testing, workflow validation, and revenue cycle projects as assigned.


• Ensure confidentiality and security of financial and patient information in accordance with HIPAA and company policies.

Education and Experience:

• High school diploma or equivalent required. Post-secondary education in Accounting, Finance, Business Administration, Healthcare Administration, or a related discipline is strongly preferred, with a bachelor's degree preferred.


• 3+ years of experience in healthcare revenue cycle, payment posting, reconciliation, auditing, accounting, or related financial operations.


• Experience working with medical billing systems, practice management systems, and electronic remittance files required.


• Experience performing account reconciliations, variance analysis, audits, and financial reviews required.


• Experience supporting multi-site healthcare organizations preferred.


• Advanced proficiency with Microsoft Excel and reporting tools required.


• Experience analyzing large data sets and identifying trends, discrepancies, and process improvement opportunities preferred.

Knowledge, Skills, and Abilities:

• Knowledge of healthcare revenue cycle processes, including payment posting, reconciliations, adjustments, credits, refunds, and reimbursement methodologies.


• Knowledge of healthcare reimbursement methodologies, insurance payments, adjustments, credits, and refunds preferred.


• Strong analytical, auditing, and problem-solving skills with the ability to identify discrepancies, determine root causes, and implement corrective actions.


• Proficiency in Microsoft Excel and data analysis tools, including experience working with large data sets and financial reporting.


• Excellent attention to detail with a commitment to accuracy, compliance, and data integrity.


• Ability to prioritize multiple responsibilities, meet deadlines, and manage competing demands in a fast-paced environment.


• Strong written and verbal communication skills with the ability to collaborate effectively across departments.


• Knowledge of HIPAA, compliance requirements, and best practices for handling sensitive financial and patient information.


• Continuous improvement mindset with the ability to identify process enhancement opportunities and improve operational efficiency.