Revenue Cycle Reconciliation Specialist

Harbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. Harbor provides medical, behavioral health, dental, and support services to more than 34,000 patients in Boston, the South Shore, and Cape Cod. Health also operates two Programs for All-Inclusive Care for the Elderly in Mattapan and Brockton, a Woman, Infants and Children (WIC) Nutrition Program. To help further the mission of Harbor, we are looking for a talented Revenue Cycle Reconciliation Specialist to join our Patient Accounts Team.

Harbor Health offers a GREAT benefits package including Health, Dental, Vision, Life, & Disability insurance, 403b Savings Plan, Generous Paid Time Off plus 11 additional Holidays, Wellness program and much more!

Role:

The Revenue Cycle Reconciliation Specialist (RCRS) reconciles payments from the electronic practice management system (EPM) to the bank reconciliation; assists with the reconciliation process while adhering to deadlines to ensure timeliness of monthly financial report distribution. The RCRS also serves as a liaison for Accounts Receivable reports from the EPM (EPIC/OCHIN) system.

Responsibilities:

• Assists the Revenue Cycle Reconciliation Team Leader with the monthly cash summary report to HHSI’s practice management system and retail pharmacy software.
• Enters in all payments recorded from Bank Operating system to the cash summary for reconciliation.
• Reconciles Elder Service Plan (ESP) Medicaid payments and reports ESP payments to PEAK as part of the monthly revenue recognition and cash balancing process.
• Prepares and documents deposit activity in preparation for the annual audit.
• Posts self-pay payments into EPIC EPM upon receipt.
• Posts insurance payments into the EPIC EPM system as needed.
• Primary user of the SFTP site utilized for OCHIN communication, electronic payment files and reports.
• Acts as a resource to other members of the department for reconciliation and reporting needs.
• Assists the front desk operations with payment batches.
• Acts as a liaison with the collection agency.
• Serves as the primary backup to the Revenue Cycle Reconciliation Team Leader and the Pharmacy Payment Coordinator as needed.

Requirements:

• High School diploma or equivalent
• One (1) year of professional work experience with medical billing and payment posting
• Proven knowledge of the billing of medical and dental claims and physician billing
• Computer literate with Intermediate level proficiency in Microsoft Office 365 including Word, Excel and Outlook and Teams required
• Experience with EPIC/OCHIN billing application, knowledge of EPIC/OCHIN reporting
• Ability to work independently and as part of a team
• Excellent organizational skills

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

The salary range and/or hourly rate listed is a good faith determination of base compensation that may be offered to a successful applicant for this position at the time of this job advertisement.

When determining actual base salary and/or rate, several factors may be considered as applicable (e.g. location, years of relevant experience, education, training, and other factors as permissible by law). As such, most offers will not be at the top of the salary range.