Revenue Cycle Reconciliation & Audit Specialist

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Revenue Cycle Reconciliation & Audit Specialist based in the United States. As a Revenue Cycle Reconciliation & Audit Specialist, you will play a key role in ensuring the accuracy, integrity, and efficiency of healthcare financial operations. You will oversee financial reconciliations, audit payment transactions, and investigate discrepancies across multiple revenue cycle activities. Working with payment records, insurance remittances, deposits, refunds, and adjustments, you will help maintain reliable financial reporting and strong internal controls. You will collaborate with Revenue Cycle, Accounting, and Operations teams to identify root causes, resolve variances, and improve financial processes. Through detailed analysis and proactive auditing, you will contribute to regulatory compliance and operational excellence. This remote opportunity is ideal for an analytical professional who enjoys working with complex financial data in a fast-paced healthcare environment. 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.