Revenue Cycle Reconciliation Specialist

Harbor Health Services, Inc.•Boston, MA

43d•$22 - $32

About The Position

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.

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

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.