Revenue Cycle Specialist

• 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)

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