Revenue Cycle & Billing Specialist

Revenue Cycle Billing Specialist

Holyoke Medical Center is a 219-bed independent community hospital that has served the healthcare needs of the Pioneer Valley for over 125 years. We continue to grow and address the needs of our community through quality and patient centered care. The Work Connection is looking for a detail-oriented Revenue Cycle Billing Specialist to join our Occupational Health team. In this role, youll be the backbone of our revenue cycle ensuring billing accuracy, timely payment posting, and clean financial reporting from charge entry all the way through reconciliation. Youll work closely with providers, front office staff, finance, and third-party payers to keep our billing process running smoothly, resolve discrepancies before they become problems, and help identify opportunities to strengthen revenue integrity across the department. If youre organized, analytical, and enjoy solving the kind of problems that keep a revenue cycle healthy, wed love to hear from you.

Responsibilities:

• Revenue Cycle Billing Review and verify charges in the electronic medical record for completeness and accuracy Ensure services are billed according to contracted pricing and fee schedules Generate and review employer, Workers Comp, and patient statements Process billing adjustments, corrections, credits, and approved write-offs
• Payment Posting & Reconciliation Accurately post payments from employers, self-pay clients, and third-party administrators Reconcile daily deposits and payment batches Research and resolve payment variances and unapplied payments Partner with Patient Accounts on appropriate posting of Workers Comp payments
• Revenue Integrity & Reporting Perform routine audits to ensure documentation supports billed charges Identify missed charges or revenue leakage through trend analysis Generate daily, weekly, monthly, and year-end revenue reports Support leadership with financial analysis, forecasting, and month-end close
• Client & Compliance Support Serve as the primary billing point of contact for employer clients Maintain employer billing profiles and special pricing arrangements Ensure full compliance with HIPAA and applicable billing regulations

Qualifications:

• Associate degree in Business, Accounting, Healthcare Administration, or related field (or equivalent experience)
• 3+ years of healthcare billing or revenue cycle experience
• Experience with occupational health, workers compensation, or employer-based healthcare a plus
• Hands-on experience posting payments, reconciling accounts, and generating financial reports
• Electronic medical record experience required; Enterprise Health experience preferred
• Strong Excel skills and comfort working with reporting tools
• Sharp attention to detail with a knack for spotting discrepancies
• Excellent communication skills youll work with providers, finance, employers, and payers alike
• Ability to juggle multiple priorities and meet deadlines with accuracy

Why Join HMC? Youll be part of a team that keeps regional employers workforces healthy and safe and youll play a key role in keeping our department financially strong. We offer a collaborative environment, competitive pay, and the opportunity to make a visible impact on how our revenue cycle runs.

Benefits We offer a competitive salary and benefits package, including: Low-cost health insurance with no deductibles when using HMC services Dental and vision insurance Free disability and life insurance 403(b) retirement plan Up to $6,000 in degree/tuition reimbursement Free onsite parking