Revenue Cycle Transaction Specialist

The Revenue Cycle Transaction Specialist is responsible for accurately processing and managing revenue cycle transactions and credit balances across multiple systems to ensure timely and accurate billing, payment posting, and account resolution. This role supports the end-to-end revenue cycle by maintaining data integrity, resolving transactional discrepancies, and ensuring compliance with payer, regulatory, and organizational requirements.

• Process high-volume revenue cycle transactions, including charge entry, payment posting, adjustments, refunds, and account corrections.
• Review and reconcile patient accounts to ensure accuracy and completeness of financial data.
• Identify, research, and resolve transaction discrepancies, credit balances, denials, underpayments, and posting errors.
• Ensure accurate application of contractual allowances, write-offs, and payer-specific adjustments.
• Maintain compliance with payer contracts, billing regulations, and internal policies.
• Collaborate with billing, coding, patient access, and follow-up teams to resolve account issues.
• Document actions and maintain detailed audit trails within patient accounting systems.
• Monitor transaction queues and worklists to meet productivity and turnaround time standards.
• Assist with month-end close activities, reconciliations, and reporting as needed.
• Participate in process improvement initiatives to enhance efficiency, accuracy, and cash flow.
• Additional duties as assigned.

• Educational / Experience Requirements:
  High school diploma or equivalent required; associate’s degree preferred.
• 2+ years of experience in healthcare revenue cycle operations (e.g., billing, payment posting, AR, or account resolution).
• Experience in Microsoft Office such as Word and Excel.
• General understanding of all revenue cycle functions and interrelationships.
• Hands-on experience and knowledge in revenue analysis, process improvement, AR management and systems development/implementation.
• Must be versatile, flexible and able to perform in stressful situations.
• Strong time management and organization skills. Strong written and oral communication skills.
• Ability to organize and prioritize high-volume workload. Extensive experience with data entry.
• Ability to analyze and utilize data and systems to provide individualized quality treatment in a cost-effective manner.
• Ability to function with minimal supervision and maintain confidentiality.
• Understanding of policy and procedure modification in accordance with State and Federal laws, JCAHO, HCFA and other regulatory boards as required; strong understanding of healthcare billing processes, payer types, and reimbursement methodologies.
• Proficiency with patient accounting and billing systems (e.g., Epic, Cerner, Meditech, or similar).
• High attention to detail and ability to manage large volumes of transactional work.
• Strong analytical and problem-solving skills.

Subject to interruptions. Occasional pressure due to multiple calls and inquiries. This position can be fast-paced and may be stressful; must be able to cope mentally and physically with the atmosphere. Work requires spending approximately 90% or more of the time inside a building that offers protection from weather conditions but not necessarily from temperature changes.