Revenue Cycle Reconciliation & Audit Specialist

Jobgether; United States; Remote; USD 65,000 - 95,000; Full time

Benefits offered by this job

Remote work: Fully remote

Professional development

Cross-functional collaboration

Career growth

Meaningful impact

Job summary

Jobgether is seeking an experienced Revenue Cycle Accountant to manage end-to-end reconciliations, audits, and financial reporting for a healthcare operation. You will collaborate with Finance, Operations, and Revenue Cycle teams to ensure accuracy and compliance.

The role requires hands-on experience with medical billing systems, remittance files, and practice management platforms, with a focus on improving processes and controlling costs. Fully remote position, nationwide scope.

Qualifications

• High proficiency in Microsoft Excel and financial reporting tools.
• Experience performing account reconciliations, variance analysis, and internal audits.
• Knowledge of healthcare revenue cycle processes, including payments, adjustments, and refunds.

Responsibilities

• Perform daily, weekly, and monthly reconciliations of revenue cycle transactions including payments, deposits, credits, refunds, and adjustments.
• Audit payment posting activities for accuracy, completeness, and policy compliance.
• Investigate discrepancies involving insurance/payments, contractual adjustments, denials, refunds, and outstanding balances.
• Reconcile bank deposits, electronic remittance files, merchant transactions, lockbox activity, and cash posting records.
• Analyze revenue cycle data to identify trends, variances, errors, and improvement opportunities.
• Support month-end, quarter-end, and year-end reconciliation activities and reporting.
• Prepare and distribute detailed reconciliation, audit, and performance reports to leadership.
• Contribute to process improvements to strengthen financial controls and efficiency.

Skills

Advanced Excel

Financial analysis

Auditing

HIPAA compliance

Education

Bachelor's degree in Accounting/Finance

Tools

Medical billing systems

Practice management platforms

Electronic remittance files

Job description

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.