Oceans Healthcare · 6 hours ago
Revenue Cycle Transaction Specialist
Oceans Healthcare is seeking a Revenue Cycle Transaction Specialist responsible for processing and managing revenue cycle transactions and credit balances. This role ensures timely and accurate billing, payment posting, and account resolution while maintaining compliance with relevant regulations and organizational requirements.
Health Care
Responsibilities
Process high-volume revenue cycle transactions, including charge entry, payment posting, adjustments, refunds, and account corrections
Review and reconcile patient accounts to ensure accuracy and completeness of financial data
Identify, research, and resolve transaction discrepancies, credit balances, denials, underpayments, and posting errors
Ensure accurate application of contractual allowances, write-offs, and payer-specific adjustments
Maintain compliance with payer contracts, billing regulations, and internal policies
Collaborate with billing, coding, patient access, and follow-up teams to resolve account issues
Document actions and maintain detailed audit trails within patient accounting systems
Monitor transaction queues and worklists to meet productivity and turnaround time standards
Assist with month-end close activities, reconciliations, and reporting as needed
Participate in process improvement initiatives to enhance efficiency, accuracy, and cash flow
Additional duties as assigned
Qualification
Required
High school diploma or equivalent required; associate's degree preferred
2 plus years of experience in healthcare revenue cycle operations (e.g., billing, payment posting, AR, or account resolution)
Experience in Microsoft Office such as Microsoft Word and Excel
General understanding of all revenue cycle functions and interrelationships
Hands on experience and knowledge in revenue analysis, process improvement, AR management and systems development/implementation
Must be versatile, flexible and able to perform in stressful situations
Must have good time management and organization skills
Strong written and oral communication skills
Must be able to organize and prioritize high volume workload
Extensive experience with data entry
Must analyze and utilize data and systems to provide individualized quality treatment in a cost-effective manner
Must be able to function with minimal supervision and complete understanding and respect of confidentiality
Interprets and works toward policy and procedure modification that are in accordance with State and Federal Laws, JCAHO, HCFA and other regulatory boards as required by state and federal laws as well as the mission statement
Strong understanding of healthcare billing processes, payer types, and reimbursement methodologies
Proficiency with patient accounting and billing systems (e.g., Epic, Cerner, Meditech, or similar)
High attention to detail and ability to manage large volumes of transactional work
Strong analytical and problem-solving skills
Preferred
Associate's degree preferred
Company
Oceans Healthcare
Oceans Healthcare is a nationally recognized provider of inpatient and outpatient behavioral health services.
Funding
Current Stage
Late StageTotal Funding
$254MKey Investors
Comvest Credit PartnersGeneral Catalyst
2025-03-05Debt Financing· $237M
2021-01-01Series Unknown
2013-02-12Debt Financing
Recent News
2025-06-27
Behavioral Health Business
2025-04-29
Company data provided by crunchbase