Revenue Cycle Posting Specialist

Bay Cove Human Services’ mission is to partner with people to overcome challenges and realize personal potential. Bay Cove pursues this mission by providing individualized and compassionate services to people facing the challenges associated with developmental disabilities, mental illness, substance use disorders, and homelessness at more than 175 program sites throughout Greater Boston and southeastern Massachusetts. Reports to: Senior Director of Revenue Cycle Job Summary: Reporting to the Senior Director of Revenue Cycle, the Revenue Cycle Posting Specialist is a technically proficient RCM staff member responsible for communicating 270/271 errors to the front-end of the Revenue Cycle and providing them with guidance to avoid future 270/271 errors. The Revenue Cycle Posting Specialist is also responsible for ensuring that EDI standards are being followed. Identifying and processing EFT documentation, and subsequently pairing them with the appropriate ERA are also requirements of the Revenue Cycle Posting Specialist. Additionally, the Revenue Cycle Posting Specialist must possess a strong understanding of accounting principles, banking regulations, financial software, payment reconciliation, and monthly closing procedures. This is a non-exempt position. Personal Characteristics: Demonstrated ability to work effectively and collaboratively with a culturally diverse population. Proficient communication, documentation, organizational, and presentational skills. Ability to be flexible, open, and responsive to ongoing changes. Qualifications: Degree from an accredited school or college with an emphasis in Accounting, Finance, or equivalent experience. Must have five or more years of payment posting, bank reconciliation, and audit preparation experience. Comprehensive understanding of Claim Adjustment Reason Codes (CARCs) and how to apply them. Knowledge of Microsoft Excel (Advanced), Outlook (Intermediate), and Word (Intermediate). Must be detailed oriented with strong interpersonal, relationship‑building, investigative, problem‑solving, and time‑management skills. Key Responsibilities: Responsible for identifying and initiating the implementation of EDI Standards, including mapping, translating, validating, testing, and integrating electronic functions. Process eligible EFTs to facilitate electronic claims submission and processing, to increase payment posting speed and efficiency, and reduce errors. Post payments and denials at the payment level to reduce back end work for Accounts Receivable Specialist. Enter insurance, patient, and government payments into the billing system, including electronic and manual deposits. Match EOBs and payment files against expected reimbursement to identify discrepancies; produce contract variance report to ensure payer adherence to contractual reimbursement rates. Make corrections for underpayments, zero‑pay claims, or contractual variances. Ensure all postings align with payer requirements and regulatory standards. Address auto‑posted ERA errors and other posting issues to prevent downstream reconciliation problems. Facilitate revenue cycle management activities including medical billing, medical collections, and related processes. Prepare and submit bank deposits daily, determine correct GL accounts for incoming revenue, reconcile (daily and monthly) deposits to bank statements, and scan and post them within 5 business days of deposit for viewing. Manage and support accounting software platforms such as QuickBooks, Sage, PeopleSoft, and other financial systems to ensure optimal functionality. Collaborate with Senior Director of Revenue Cycle and department manager in the development and maintenance of Revenue Cycle Posting Specialist Standard Operating Procedures (SOPs). Maintain the confidentiality of all company and patient information at all times, as required by the facility and HIPAA guidelines. Other Requirements: Maintain compliance with regulatory standards associated with SOX, GAAP, ICD‑10, CPT coding, and other industry‑specific requirements. Proficiency with billing and accounting software, EHR systems, and payment posting tools. Accounting knowledge and understanding of revenue cycle processes. Comprehensive experience with insurance and payer terminology. Ability to work independently and as an integral member of the Revenue Cycle team. Physical capacity to complete bank runs within the local neighborhood of 66 Canal St. Complete other duties and relevant tasks as assigned. An acceptable CORI (criminal offender record information). Supervisory Responsibilities: None Bay Cove Human Services is an Equal Opportunity Employer and does not discriminate on the basis of race, ethnicity, religion, sex, gender identity or expression, national origin, sexual orientation, disability, age, veteran status, or any other groups as protected by Massachusetts or federal law. All qualified candidates, regardless of background, are encouraged to apply. Bay Cove Human Services does not offer visa sponsorships at this time and will require candidates to be authorized to work in the United States. Pay Range: $32.69 - $33.65 Hourly #J-18808-Ljbffr Bay Cove Human Services