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Revenue Cycle Specialist
Village Medical. Research and resolve payment discrepancies and account variances to ensure accurate account balances and payment application .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare revenue cycle management, including payment posting, reconciliation, and account resolution. Proficient in utilizing Athenahealth, Tableau, and Microsoft Office applications to analyze and resolve payment discrepancies while adhering to regulatory requirements.
Highest-signal resume keywords
Healthcare Revenue Cycle ManagementPayment PostingPayment ReconciliationAthenahealth ProficiencyAnalytical Problem-Solving
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Payment ReconciliationMedical BillingPayment PostingRefund ProcessingBankingAccountingCollectionsData AnalysisExcel ProficiencyAttention to Detail
Soft Skills
Strong Communication SkillsOrganizational SkillsProblem-Solving SkillsAbility to Work IndependentlyTeam Collaboration
Tools & Technologies
AthenahealthTableauMicrosoft OfficeBank PortalsPayer Portals
Industry Keywords
HIPAA ComplianceProtected Health Information (PHI)Revenue CyclePayment DiscrepanciesAccount Variances
Tech Stack
Tools & technologiesTableau
About the role
Key responsibilities & impact- Research and resolve payment discrepancies and account variances to ensure accurate account balances and payment application
- Work assigned Athenahealth worklists, reviewing patient accounts and determining appropriate resolution based on payment, adjustment, and account activity
- Investigate unapplied, misapplied, unidentified, and unallocated payments and take corrective action when appropriate
- Review and process patient and insurance refunds in accordance with departmental policies and regulatory requirements
- Verify deposits and reconcile payment activity utilizing bank portals, payer portals, internal reporting, and supporting systems
- Retrieve remittance information and supporting documentation necessary to complete payment research and account resolution
- Utilize Athenahealth as the primary workflow platform while leveraging Tableau and LK Oasis to support account analysis and research
- Monitor and respond to departmental communications, including shared mailboxes within established service level expectations
- Identify recurring payment or account issues and communicate trends, workflow barriers, and improvement opportunities to leadership
- Collaborate with internal Revenue Cycle departments, vendors, payers, and other stakeholders to resolve account-related issues
- Support audits, special projects, process improvement initiatives, and cross-functional departmental activities as assigned
- Maintain established productivity, quality, and accuracy standards
- Adhere to HIPAA regulations, company policies, and confidentiality requirements while safeguarding Protected Health Information (PHI)
Requirements
What you’ll need- High School Diploma, GED, or equivalent required
- Minimum one (1) year of experience in healthcare revenue cycle, medical billing, payment posting, payment reconciliation, refunds, banking, accounting, collections, or a related field
- Strong analytical and problem-solving skills
- Ability to interpret payment activity, identify discrepancies, and determine appropriate resolution
- Proficiency with Microsoft Office applications, including Excel and Outlook
- Excellent written and verbal communication skills
- Strong organizational skills and attention to detail
- Ability to prioritize workload, manage multiple assignments, and meet deadlines
- Ability to work independently while contributing to a collaborative team environment
- Demonstrated commitment to quality, accuracy, and continuous improvement
- Ability to communicate effectively in a virtual environment
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Life coverage
- Disability coverage
- Vision coverage
- FSA coverage
- 401k savings plan