Revenue Cycle Specialist | Hospital Billing Cash Applications

Overview

Revenue Cycle Specialist

• Location: St. Augustine, FL
• Work Style: Remote
• Employment Type: Full-Time (1.0 FTE)

This role is responsible for accurately posting and reconciling all third-party payer and patient payments within a healthcare system, ensuring timely resolution of accounts using Epic work queues. The specialist balances daily cash reports and determines appropriate contractual adjustments by verifying balances, calculating adjustments, and posting transactions during payment processing. The position supports the financial integrity of the healthcare system by efficiently processing payments, denials, and adjustments while maintaining compliance with regulatory and organizational requirements.

Responsibilities

• Accurately apply and reconcile internal and external payments and denials, including importing and processing cash batches, wires, lockbox transactions, and ACH payments.
• Utilize departmental tools and processes to post allowed adjustments, write-offs, denials, and payer/plan changes according to established guidelines.
• Research and resolve undistributed and unapplied payments within assigned Epic HB Resolute work queues to ensure timely and accurate account resolution.
• Prepare and maintain appropriate forms and reports to document cash activity, balancing payment posting across all facilities and applicable general ledger accounts.
• Ensure clearing accounts are properly utilized, monitored, and reconciled.
• Identify and resolve conflicting account information and inconsistencies in receivables to support accurate financial reporting and account integrity.
• Assist with additional duties and departmental responsibilities as assigned to support the overall success of the Cash Team.

Qualifications

Minimum Qualifications

Education:

• High school diploma or equivalent required
• Some college-level coursework in business, finance, or accounting preferred

Licensure / Certification / Registration:

• None required

Skills and Experience

• Preferred three (3) years of general clerical experience, including simple bookkeeping, typing, and data entry
• Minimum of one (1) year experience in a hospital business setting involving finance, accounting, or collection systems
• Strong organizational skills with the ability to work independently
• Excellent written and verbal communication skills
• Above-average math skills with proficiency in keyboarding and calculator use
• Ability to adapt quickly in a high-volume, fast-paced environment
• Proficient in reading, writing, speaking, and understanding English effectively