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The Sr. Analyst, Cash Reconciliation is responsible for managing and optimizing the reconciliation of payment postings between Epic EHR and bank deposits. The role requires a deep understanding of financial processes, ensuring that payments deposited in the bank are accurately reflected in the practice management system (Epic). Utilizing Clarity data from Epic, the bank and Oracle Financials, the Senior Reconciliation Analyst identifies and resolves discrepancies, streamlines reconciliation workflows, and ensures compliance with industry regulations. The ideal candidate will work closely with Revenue Operations Center (ROC), Accounting, Finance, and IT teams to enhance the accuracy and efficiency of payment posting and reconciliation processes.
Responsibilities- Oversee the reconciliation process and systems related to payments deposited in the bank and their associated EOBs posted in the Epic system on a transactional level, ensuring data integrity.
- Partners closely with Accounting Treasury team to understand their daily reconciliation process as well as partnering closely with ROC Posting team to understand their daily posting and depositing processes.
- Maximize the utilization of electronic payments by overseeing enrollment in ERA & EFT and automating the reconciliation process of insurance deposits (EFTs, lockbox ICL) with insurance payments (ERA, converted EOBs) posted in the Epic practice management system.
- Analyze Clarity data and reports to ensure accuracy in payment postings and systematizing resolution to discrepancies in payment and remittance data. Generate regular reconciliation reports and dashboards using Clarity Data and Oracle, providing actionable insights to ROC leadership.
- Collaborate with External Vendors and Financial Institutions to research exceptions, troubleshoot issues and resolve payment-related discrepancies such as ensuring timely and accurate conversion of EOB data.
- Lead process improvement initiatives to identify inefficiencies, explore new technologies, and recommend automation or workflow enhancements to streamline reconciliation efforts.
- Work cross-functionally with the accounting cash management team to forecast daily cash volumes received and detect fraud, waste, and abuse.
- Provide training and acts as mentor to junior team members on reconciliation best practices and the use of Epic EHR
- Lead support for Annual Financial Audit and User-Accepted Testing (UAT) of new payment systems, vendors, upgrades, or processes.
- Other duties as assigned by management.
Qualifications- Bachelor's degree in Accounting, Finance, Healthcare Administration, or a related field. In lieu of degree, 5+ years of related experience.
- 6+ years of experience in healthcare revenue cycle management, with a focus on payment reconciliation.
- Extensive experience with Epic EHR systems, particularly in payment posting and reconciliation processes.
- Strong proficiency in Clarity Data reporting and Oracle financial systems.
- Knowledge of ERA, EFT, lockbox processes, and EOB conversions in a healthcare setting.
- Proven track record of analyzing and resolving discrepancies in healthcare payments.
Preferred- Master's degree in Healthcare Administration, Finance, or a related field.
- Epic certification in Cogito or Resolute Professional Billing.
- Experience with healthcare compliance regulations, such as HIPAA and Medicare/Medicaid reimbursement guidelines.
- Prior experience leading reconciliation projects or teams in a healthcare setting.
- Familiarity with process improvement methodologies such as Lean or Six Sigma.
Knowledge/Skills/Abilities- Strong analytical skills with the ability to interpret large datasets, identify discrepancies, and synthesize complex information for valid conclusions and action plans.
- Expertise in using Epic EHR (including ERA/EFT reconciliation and Clarity Data extraction), Oracle for financial reporting, and advanced Excel for data manipulation and reporting.
- Ability to collaborate cross-functionally with RCM, finance, IT, and external banks to resolve complex reconciliation issues and ensure compliance with regulatory requirements.
- Detail-oriented and organized, with a strong focus on accuracy and process optimization in financial operations, including payment reconciliation.
- Excellent oral and written communication skills, with the ability to explain complex financial information to both technical and non-technical stakeholders.
- Self-motivated and capable of working independently, while also thriving in a team environment and contributing to a positive and constructive workplace.
- Ability to manage multiple tasks and projects simultaneously, meeting deadlines without compromising quality.
- Problem-solving skills to analyze information, resolve issues in a timely manner, and provide actionable recommendations.
- Knowledge of healthcare reimbursement processes, including payer contracts, EOB formats, and regulatory guidelines, with experience in training and mentoring junior analysts.
- Customer service-oriented with strong interpersonal skills, able to respond effectively to inquiries from customers, staff, and external partners such as regulatory agencies and vendors.
Benefits- Medical, dental, and vision insurance
- Paid time off
- Tuition Reimbursement
- 401K
- Paid time to volunteer in your local community
PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.
