Finance Support Specialist

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Description

The Finance Support Specialist serves as a key liaison between Billing, Finance, and Revenue Integrity. This position is responsible for daily multi-system payment reconciliation (eCW ? Trizetto ? bank), accounting support functions including Accounts Payable entry and patient refunds, cash balancing, and preparation of month-end reconciliation documentation. The role requires strong analytical skills, exceptional attention to detail, and the ability to maintain accurate financial and audit-ready records across multiple systems.

Requirements

Revenue & Payment Reconciliation

1. Performs daily end-to-end payment reconciliation between eCW, bank deposits, ACH/EFT transactions, credit card systems, and internal payment logs.

2. Conducts daily reconciliation between eCW and the Trizetto clearinghouse, ensuring submitted claims, acknowledgments, remittances, and rejection reports match; researches and resolves discrepancies.

3. Reconciles insurance remittances by comparing ERAs, checks, payer websites, and batch reports to posted transactions.

4. Reconciles outstanding patient balances weekly, ensuring payment plans, discounts, and adjustments are accurate.

5. Monitors and resolves unposted payments, missing ERAs, suspense items, and unidentified payer funds.

Accounting Support & Financial Accuracy

6. Prepares and maintains daily cash balance worksheets to support Finance month-end close.

7. Performs monthly bank reconciliations and prepares necessary adjusting journal entries in the accounting software.

8. Assists Revenue Cycle Manager and Finance with month-end reconciliation packets including deposit summaries, posting logs, and variance reports.

9. Supports Accounts Payable by entering invoices with correct coding, documentation, and authorization.

10. Prepares, validates, and processes all patient refunds, confirming credit balance accuracy and maintaining audit-ready documentation.

Vendor & Systems Oversight

11. Monitors accuracy and timeliness of postings completed by the outsourced RCM vendor; communicates issues as needed.

12. Uses payer portals, banking systems, clearinghouse tools, and eCW reporting modules to complete reconciliation research.

13. Logs all insurance payments and collects supporting documents for posting by internal or outsourced personnel.

Administrative & Patient Support

14. Answers patient billing calls and provides support as needed.

15. Manages cash drawer, prepares daily electronic deposits, and completes weekly bank deposits.

16. Provides backup support to the Health Access Coordinator (HAC).

17. Oversees administrative supplies, ordering, and inventory for multiple locations.

NON-ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Provides backup coverage and other functions as needed.

2. Performs other duties and tasks as assigned which may or may not be restricted to clerical and administrative.

GENERAL EXPECTATIONS:

1. Commitment to the mission of Bucksport Regional Health Center.

2. Work collaboratively as part of the Business Office.

3. Maintain punctuality and strong time management.

4. Work harmoniously with staff, patients, vendors, and partners.

5. Maintain confidentiality of patient, employee, and organizational information.

6. Represent the organization positively in community activities.

PHYSICAL REQUIREMENTS:

The physical requirements described here are representative of those that must be met by the Incumbent to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel, including operation of a standard computer keyboard; reach with hands and arms and talk, see and hear; prolonged sitting is required. Eye hand coordination and manual dexterity are required. The employee must occasionally lift/move up to 25 pounds, bend, stoop, stretch or crouch. Specific vision abilities required by the job include close vision, distance vision, and the ability to adjust focus.

Dependable personal transportation for the ability to drive to local bank for transactions, or other assignments.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those of the incumbent encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Work is performed primarily in an office setting. Noise levels are usually quiet.

QUALIFICATIONS NEEDED FOR POSITION:

Experience and Skill Requirements: The following experience and skills are considered essential:

• Minimum 2-3 years of experience in a medical Business Office, accounting department, or healthcare financial operations is required
• Reconciliation experience preferred.
• Hands-on experience with EMR and clearinghouse workflows-preferably eCW and Trizetto-including ERAs/EOBs, 999/277CAs, and rejection worklists is preferred.
• Demonstrated proficiency in payment posting, credit balance resolution, and patient refund processing.
• Working knowledge of Accounts Payable entry/coding and basic internal controls is preferred.
• Intermediate Excel skills (lookups, filters, basic PivotTables) for reconciliation and variance analysis is preferred.
• Strong analytical, problem-solving, and documentation skills with attention to detail is required.
• Ability to read, interpret, and apply policies and procedures; maintain HIPAA privacy and confidentiality is required

Education Requirements: The following education requirements are considered essential:

High school diploma or equivalent required; additional coursework in accounting or healthcare revenue cycle preferred.