RCM Cash Posting and Reconciliation Specialist
Resume:
SANDRA BELL
SKILLS
Customer relations
Expert problem solving
Analytical thinking
Documentation management
Quality assurance
Management collaboration
Proficient in Velocity, KanTime,
Continlink, Meditech
Root-cause analysis
Coaching and mentoring
Troubleshooting techniques
Knowledge sharing
Business reporting
Teamwork and collaboration
Self motivation
Attention to detail
Task prioritization
Problem-solving abilities
Team building
Claims processing proficiency
Experienced with specialized task execution and strategic implementation. Utilizes effective problem-solving techniques to enhance operational processes. Track record of fostering team collaboration and ensuring project success.
WORK HISTORY
May 2023 - June 2025
Revenue Cycle Management (RCM) Specialist HealthRev Partner/Trinet Corp, 1450 W Jackson Street, Ozark, MO, 65721
The RCM Specialist – Cash Poster is responsible for accurately posting payments and adjustments from various sources, including insurance companies and patients. Reconciling the payments with remittances and other documentation, investigating discrepancies, and ensuring compliance with regulations and payer requirements. Additionally, they provide support to the RCM teams, maintain accuracy in financial data, and identify opportunities for process improvements. Effective communication, attention to detail, and adherence to deadlines are crucial in this role to ensure timely and accurate payment posting and reconciliation. They will work closely with the RCM Managers, COO, and Senior Director of RCM Operations to ensure accurate payment posting and reconciliation, optimizing operational efficiency and adherence to regulatory standards. Essential Duties and Responsibilities:
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Process Payments: Accurately post payments, adjustments, and denials received from insurance companies, patients, and third-party payers into the billing system.
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Reconciliation: Reconcile posted payments with remittances, Explanation of Benefits (EOBs), Electronic Remittance Advice (ERAs), and other payment documentation to ensure accuracy.
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Identify Posting Discrepancies: Investigate and resolve discrepancies between posted payments and expected reimbursement amounts, identifying and rectifying posting errors or payment discrepancies.
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Apply Contractual Adjustments: Apply contractual adjustments and write-offs in accordance with payer contracts and fee schedules to ensure accurate accounts receivable (AR) balances.
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Research and Resolve Issues: Research and resolve payment posting issues, including unidentified payments, missing payments, and payment rejections, communicating with payers, clients, and management, as necessary.
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Ensure Compliance: Ensure compliance with healthcare regulations, billing guidelines, and payer requirements related to payment posting processes, including HIPAA and CMS regulations.
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Maintain Accuracy: Maintain the accuracy and integrity of financial data by performing regular audits and reviews of posted payments and adjustments.
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Provide Reporting: Generate and distribute reports on cash posting metrics, including cash reconciliation, and payment posting accuracy, to
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CONTACT
Springfield, MA 01119
*************@*****.***
Bold Profile
April 2019 - April 2023
Revenue Cycle Specialist CARMELITES SYSTEM, 646 Woods Road Germantown, NY 12526
October 2010 - September 2018
Hospice Billing Rep BAYSTATE HOSPICE, 50 Maple Street, Springfield, MA
September 2007 - October 2010
management.
Collaborate with Billing Team: Collaborate with the billing team to resolve billing-related issues that impact payment posting, providing support and expertise as needed.
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Stay Updated: Stay informed about changes in reimbursement policies, payer guidelines, and industry trends related to payment posting and revenue cycle management.
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Customer Service: Provide excellent customer service for clients and management responding promptly and courteously to inquiries related to payment posting and account balances.
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Process Improvements: Identify opportunities for process improvements and efficiencies in payment posting workflows, implementing changes to optimize cash flow and revenue cycle performance.
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Adhere to Deadlines: Adhere to deadlines for payment posting and reconciliation tasks to ensure timely and accurate financial reporting
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Documentation: Maintain thorough and accurate documentation of payment posting activities, including notes on payment discrepancies, adjustments, and resolution efforts.
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Company Overview: A Catholic not-for-profit health system that consists of senior care facilities that provide loving and compassionate care to the aged and infirm.
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Reached out to responsible companies and individuals to collect on outstanding debts
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• Contacted insurance providers to check patient coverage Identified and corrected payment problems involving patients or third- party payers
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Produced accounting reports and provided targeted recommendations for improving revenue standing
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• Completed weekly account reconciliations to identify discrepancies Built and strengthened client relationships to form long-lasting, profitable bonds
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Company Overview: Baystate Hospice offers end of life care and support for patients and their families in western Massachusetts.
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• Evaluated accounts for payment compliance and contacted customers Verified patient insurance coverage, created financial plan according to treatment schedules for collections and communicated between patient and billing company regarding health insurance
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Reviewed and analyzed contracts to resolve billing issues with vendors and carriers
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Answered customer invoice questions and resolved issues discovered during invoicing and collection process
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Processed and sent invoices, adjustments and credit memos to customers
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Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections
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• Worked with outside parties to obtain payments and solve problems Account Receivable Manager CENTER FOR EXTENDED CARE AT AMHERST, 150 University Dr, Amherst, MA 01002-2232 May 1997 - March 2007
Life Lab MERCY HOSPITAL, 299 Carew Street, Springfield, MA 01105 Company Overview: Center For Extended Care at Amherst is a skilled nursing facility
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Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
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Checked payroll, vendor payments and other accounting disbursements for accuracy and compliance.
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Created and updated financial reports on frequent basis to present information to leadership teams.
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Maintained regular performance appraisals for subordinates through verbal, written and ongoing review programs.
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• Conducted reviews and evaluations for cost-reduction opportunities. Created financial management mechanisms to minimize financial risk to business.
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Company Overview: Mercy Medical Center is a 251-bed general medical and surgical hospital located in Springfield, Massachusetts.
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Took billing calls, questions and concerns from patients and third-party carriers
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Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies
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Identified discrepancies and carrier issues regarding billing and reimbursements
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• Corrected, completed and processed claims for payer codes
• Entered patient charges and payments into electronic health records Protected medical office operations and integrity by keeping patient information confidential
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Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts
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• Attended provider meetings and workshops when appropriate EDUCATION
May 2007
BS Business Administration
Bay Path University, Longmeadow, MA
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